# MONTGOMERY FAMILY CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265250351
- **Authorized official:** JEANNA MONTGOMERY (CEO & OWNER)
- **Authorized official phone:** (248) 919-8333

## Contact information

- **Practice address:** 2785 E GRAND BLVD UNIT 169, DETROIT, MI 48211-2003
- **Practice address phone:** (248) 919-8388
- **Mailing address:** 43313 WOODWARD AVE \# 1451, BLOOMFIELD HILLS, MI 48302-5007
- **Mailing address phone:** (248) 919-8388

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/28/2024
- **Last updated:** 12/11/2024