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Latisha Montgomery
Home Health Agency in Rockford, Illinois
NPI 1689137549

Latisha Montgomery is a Home Health Agency based in Rockford, IL. Latisha Montgomery practices in Rockford, IL. The NPI Number for Latisha Montgomery is 1689137549 and holds a License No. (Illinois).

The current practice location address for Latisha Montgomery is 2929 N Main St, Rockford, IL and can be reached out via phone at 779-210-1293.

Location: 2929 N Main St, Rockford, IL, 61103-3199
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689137549
Provider Name
Latisha Montgomery
Credential
Provider Entity Type
Individual
Gender
Female
Address
2929 N Main St, Rockford, IL, 61103-3199
Phone Number
779-210-1293
Fax Number
Provider Enumeration Date
04/08/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
929929929 01 IL HOME HEALTH CARE
institution
Provider Business Practice Location Address Details
Address
2929 N Main St
City
Rockford
State
Illinois
Zip
61103-3199
Phone Number
779-210-1293
Fax Number
person
Provider Business Mailing Address Details
Address
2929 N Main St
City
Rockford
State
Illinois
Zip
61103-3199
Phone Number
779-210-1293
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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