MEDICARE: OUR GROWING TREE

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	253J00000X	Foster Care Agency

General Provider Information

NPI Number	:	1639038003
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OUR GROWING TREE

Provider Business Mailing Address
First Line	:	4824 W BLUEBELL WAY
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85742-4120
Country	:	US
Telephone Number	:	520-979-0575
Fax Number	:

Provider Business Practice Location Address
First Line	:	4824 W BLUEBELL WAY
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85742-4120
Country	:	US
Telephone Number	:	520-979-0575
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR/ADMINISTRATOR
Name	:	MARNIE LYNN GREGGS
Credential	:
Telephone Number	:	520-979-0575

Provider Enumeration Date	:	01/20/2026
Last Update Date	:	01/20/2026

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Directions to “OUR GROWING TREE ” Practice Location

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