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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LATISHA MONTGOMERY

Active Sole Proprietor

LATISHA MONTGOMERY is a Home Health healthcare provider located in ROCKFORD, Illinois. NPI 1689137549 is currently active in the NPPES registry. Verify at CMS.

Home Health · ROCKFORD, IL

Registration Details

NPI Number
1689137549
Provider Type
Individual
Gender
Female
NPI Issued
Apr 8, 2019 (7.3800329764902 yrs)
Last Updated
Oct 5, 2021
Sole Proprietor
Yes

Practice Information

Address
2929 N MAIN ST
ROCKFORD, IL, 611033199
Browse IL providers · Browse ZIP 61103
Phone
7792101293
Primary Specialty
Home Health
251E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.