OrganizationActive
Med Group Adult Day Care of Wi, LLC
NPI 1437409737 · Custodial Care Facility · Hales Corners, WI
Provider details
- NPI number
- 1437409737
- Entity type
- Organization
- Primary specialty
- Custodial Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Dariko Mekvabishvili, President(414) 755-0558
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
10549 W Forest Home Ave
Hales Corners, WI 53130-2057
Phone: (414) 755-0558
Fax: (414) 755-2470
Approximate (ZIP-level) locationGet directions
Mailing address
10549 W Forest Home Ave
Hales Corners, WI 53130-2057
Registry dates
- Enumerated
- 2012-09-13
- Last updated
- 2012-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.