Cedar Pines, INC

NPI #1144500331 in Wautoma, Wisconsin

Provider Information

NPI Number: 1144500331
Entity Type: Organization
Organization Name: Cedar Pines, INC
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Aug 19, 2011
Last Updated: Aug 19, 2011

Practice Location

Address: 101 W DIVISION ST
City: Wautoma
State: Wisconsin
ZIP Code: 54982-8467
Phone: (920) 229-3664

Authorized Official

Name: MRS. LARENDA L ROSIN
Title: PRESIDENT
Phone: (920) 229-3664

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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