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Cedar Pines Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Wautoma, Wisconsin
NPI 1881961688

Cedar Pines Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Sparta, WI. Cedar Pines Inc. practices in Wautoma, WI. The NPI Number for Cedar Pines Inc. is 1881961688 and holds a License No. (Wisconsin).

The current practice location address for Cedar Pines Inc. is 101 W Division St, Wautoma, WI and can be reached out via phone at 920-229-3664.

Location: 101 W Division St, Wautoma, WI, 54656-0506
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881961688
Provider Name
Cedar Pines Inc.
Credential
Provider Entity Type
Organization
Address
101 W Division St, Wautoma, WI, 54656-0506
Phone Number
920-229-3664
Fax Number
Provider Enumeration Date
11/22/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
101 W Division St
City
Wautoma
State
Wisconsin
Zip
54982-8467
Phone Number
920-229-3664
Fax Number
person
Provider Business Mailing Address Details
Address
101 W Division St
City
Wautoma
State
Wisconsin
Zip
54982-8467
Phone Number
920-229-3664
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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