# CEDAR PINES, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144500331
- **Authorized official:** MRS. LARENDA L ROSIN (PRESIDENT)
- **Authorized official phone:** (920) 229-3664

## Contact information

- **Practice address:** 101 W DIVISION ST, WAUTOMA, WI 54982-8467
- **Practice address phone:** (920) 229-3664
- **Mailing address:** PO BOX 506, SPARTA, WI 54656-0506
- **Mailing address phone:** (920) 229-3664

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | WI | Yes |

## Other

- **Enumeration date:** 08/19/2011
- **Last updated:** 08/19/2011