Cedar Pines, Inc

NPI 1144500331 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1144500331
Enumeration Date 08/19/2011
Last Updated 08/19/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name LARENDA L LARENDA
Position PRESIDENT
Phone (920) 229-3664
Fax
Practice Location
101 W DIVISION ST
WAUTOMA WI, 54982-8467, US
Phone (920) 229-3664
Fax
Business Location
PO BOX 506
SPARTA WI, 54656-0506, US
Phone (920) 229-3664
Fax
Toxanomy
Taxonomy Code 320600000X
License State
License Number
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According to our database, Cedar Pines, Inc NPI is 1144500331, taxonomy code is 320600000X Cedar Pines, Inc physically located at 101 W Division St, Wautoma WI, 54982-8467. NPI Number 1033115704 has the healthcare provider type.

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1144500331 NPI number is provided on an as is basis without warranty of any kind. 1144500331 is maintained by the National Plan & Provider Enumeration System. The contents of Cedar Pines, Inc are for informational purposes only.