# SPECIAL TREE RESIDENTIAL SERVICES INC.

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

## Provider details

- **NPI number:** 1710063268
- **Authorized official:** LAKISHA FORD (MEDICAL BILLER)
- **Authorized official phone:** (248) 951-4042

## Contact information

- **Practice address:** 10909 HANNAN RD, ROMULUS, MI 48174-1383
- **Practice address phone:** (248) 951-4042
- **Mailing address:** 16018 S HURON RIVER DR, ROMULUS, MI 48174-3619
- **Mailing address phone:** (248) 951-4042

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/27/2006
- **Last updated:** 02/04/2022
