Green Tree Residence LLC
NPI #1184425092 in Victorville, California
Provider Information
- NPI Number
- 1184425092
- Entity Type
- Organization
- Organization Name
- Green Tree Residence LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Mar 24, 2025
- Last Updated
- Mar 24, 2025
Practice Location
- Address
- 13741 BURNING TREE DR
- City
- Victorville
- State
- California
- ZIP Code
- 92395-4806
- Phone
- (760) 245-2504
Authorized Official
- Name
- MR. MARTIN MICHAEL VENTRESS JR.
- Title
- CEO
- Phone
- (424) 634-0093
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility - Assisted Living, Behavioral Disturbances — Assisted Living, Behavioral Disturbances |
| Custodial Care Facility |
| Assisted Living Facility |
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