Latisha Montgomery
Latisha Montgomery is a Home Health Agency in Rockford, Illinois. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
2929 N Main StRockford, IL 61103-3199
Phone: (779) 210-1293
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Home Health Agency (primary) | Taxonomy 251E00000X |
|---|
Record details
| NPI number | 1689137549 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 8, 2019 |
| Last updated in NPPES | October 5, 2021 |
| Certification date | October 5, 2021 |
| Mailing address | 2929 N Main St, Rockford, IL 61103-3199 |
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