Organization
PINE GROVE SENIOR LIVING LLC
Active
Other names
Blue Jay Springs Senior Living and Memory Care
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER TUELLER (SECRETARY)
(208) 207-2726
Entity
Organization
Contact information
Practice address
1006 N MILITARY AVE, GREEN BAY, WI 54303-4412
(920) 499-1119
Mailing address
1006 N MILITARY AVE, GREEN BAY, WI 54303-4412
(543) 032-0840
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/09/2024
Last updated
11/19/2025
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