MEDICARE: FRIENDS WHO CARE-MONTROSE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1871680215
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRIENDS WHO CARE-MONTROSE, LLC

Provider Business Mailing Address
First Line	:	276 E STATE ST
Second Line	:
City	:	MONTROSE
State	:	MI
Zip	:	48457-9004
Country	:	US
Telephone Number	:	810-639-5411
Fax Number	:	810-639-5336

Provider Business Practice Location Address
First Line	:	276 E STATE ST
Second Line	:
City	:	MONTROSE
State	:	MI
Zip	:	48457-9004
Country	:	US
Telephone Number	:	810-639-5411
Fax Number	:	810-639-5336

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	MS. GAYLE BUSSELLE
Credential	:
Telephone Number	:	248-968-5540

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	08/22/2020

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