NPI | 1578982278 |
---|---|
Doing Business As | CEDAR RIDGE |
Entity Type | Organization |
Authorized Contact | JERRY DEETZ Executive Director 715-538-4312 |
Organization Subpart ? | Yes |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: WI 0015028) |
Enumeration Date | 2014-04-09 |
Last Update Date | 2021-04-15 |