Organization · Type 2 NPI

Moraine Ridge LLC

Assisted Living Facility · Green Bay, WI

NPI number 1053282020 Active

Practice location

2929 Saint Anthony Dr
Green Bay, WI 54311-5878

Call (920) 468-3111 Map

Fax (920) 593-1462

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1053282020

Moraine Ridge LLC's National Provider Identifier is 1053282020, issued on Sep 15, 2025. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Green Bay, WI. The record was last updated on Sep 15, 2025.