Organization · Type 2 NPI

Pine Grove Senior Living LLC

Assisted Living Facility · Green Bay, WI

NPI number 1245059864 Active

Practice location

1006 N Military Ave
Green Bay, WI 54303-4412

Call (920) 499-1119 Map

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 1245059864

Pine Grove Senior Living LLC's National Provider Identifier is 1245059864, issued on Oct 9, 2024. 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 Nov 19, 2025.