# GREEN TREE HOME CARE LLC

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

## Provider details

- **NPI number:** 1821754383
- **Authorized official:** JONNA OVERSON (CEO)
- **Authorized official phone:** (858) 261-8679

## Contact information

- **Practice address:** 9466 CUYAMACA ST STE 102, SANTEE, CA 92071-5923
- **Practice address phone:** (858) 261-8679
- **Mailing address:** 9466 CUYAMACA ST STE 1, SANTEE, CA 92071-5922
- **Mailing address phone:** (858) 261-8679

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/09/2021
- **Last updated:** 03/01/2024