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Contact Information

MED GROUP ADULT DAY CARE OF WI, LLC
10549 W FOREST HOME AVE
HALES CORNERS, WI53130-2057
 Phone: 414-755-0558
 Fax: 414-755-2470
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Custodial Care Facility

311Z00000X
Indicates primary specialty

NPI Profile & details for MED GROUP ADULT DAY CARE OF WI, LLC

NPI Number 1437409737
LBN Legal business name MED GROUP ADULT DAY CARE OF WI, LLC
Authorized official DARIKO MEKVABISHVILI - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/13/2012
Last updated 09/13/2012 - About 14 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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