Organization
MORAINE RIDGE LLC
Active
Parent organization
MORAINE RIDGE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MORAINE RIDGE LLC
Authorized official
MS. LORRIE ANN RYCZEK (REGIONAL DIRECTOR)
(920) 468-3111
Entity
Organization
Contact information
Practice address
2929 SAINT ANTHONY DR, GREEN BAY, WI 54311-5878
(920) 468-3111
(920) 593-1462
Mailing address
2929 SAINT ANTHONY DR, GREEN BAY, WI 54311-5878
(920) 468-3111
(920) 593-1462
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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