Cedar Pines Inc.

NPI #1881961688 in Wautoma, Wisconsin

Provider Information

NPI Number: 1881961688
Entity Type: Organization
Organization Name: Cedar Pines Inc.
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Nov 22, 2011
Last Updated: Nov 22, 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
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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