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Mosaic
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Pontiac, Illinois
NPI 1053468553

Mosaic is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Omaha, IL. Mosaic practices in Pontiac, IL. The NPI Number for Mosaic is 1053468553 and holds a License No. (Illinois).

The current practice location address for Mosaic is 110 W Water St Ste 2, Pontiac, IL and can be reached out via phone at 815-842-4166 and via fax at 815-842-4053.

Location: 110 W Water St Ste 2, Pontiac, IL, 68137-2200
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053468553
Provider Name
Mosaic
Credential
Provider Entity Type
Organization
Address
110 W Water St Ste 2, Pontiac, IL, 68137-2200
Phone Number
815-842-4166
Fax Number
815-842-4053
Provider Enumeration Date
01/05/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
110 W Water St Ste 2
City
Pontiac
State
Illinois
Zip
61764-1949
Phone Number
815-842-4166
Fax Number
815-842-4053
person
Provider Business Mailing Address Details
Address
110 W Water St Ste 2
City
Pontiac
State
Illinois
Zip
61764-1949
Phone Number
815-842-4166
Fax Number
815-842-4053
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.
(Illinois)
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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