All 4 Me & Mommy PNCC CCC, LLC
Organization Active NPI Case Management Agency · Mequon, WI
NPI 1790448397 · NPPES record last updated Oct 22, 2021
Key facts
- NPI
- 1790448397
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Case Management Agency 251B00000X
- Legal business name
- ALL 4 ME & MOMMY PNCC CCC, LLC
- Practice address
- 11051 N Towne Square Rd
Mequon, WI 53092-5051 - Phone
- (414) 755-2103
- NPI assigned
- Oct 20, 2021
- Organization subpart
- No
Authorized official
- Name
- Dariko Mekvabishvili
- Title
- President
- Phone
- (414) 745-3146
National Provider Directory
Locations
11051 N Towne Square Rd
Mequon, WI 53092
Phone (414) 755-2009
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Yes |
Addresses
Primary practice location
11051 N Towne Square Rd
Mequon, WI 53092-5051
Mailing address
11051 N Towne Square Rd
Mequon, WI 53092-5051
Phone (414) 755-2103
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All providers in Mequon, WI · Case Management Agency in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.