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Mosaic
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Rockford, Illinois
NPI 1336291343

Mosaic is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Omaha, IL. Mosaic practices in Rockford, IL. The NPI Number for Mosaic is 1336291343 and holds a License No. (Illinois).

The current practice location address for Mosaic is 1111 S Alpine Rd Ste 401, Rockford, IL and can be reached out via phone at 815-387-8390 and via fax at 815-387-9055. You can also correspond with Mosaic through the mailing address at 4980 S 118TH ST, OMAHA, NE - 68137-2220 (mailing address contact number: 402-896-3884).

Location: 1111 S Alpine Rd Ste 401, Rockford, IL, 68137-2220
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336291343
Provider Name
Mosaic
Credential
Provider Entity Type
Organization
Address
1111 S Alpine Rd Ste 401, Rockford, IL, 68137-2220
Phone Number
815-387-8390
Fax Number
815-387-9055
Provider Enumeration Date
01/18/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1111 S Alpine Rd Ste 401
City
Rockford
State
Illinois
Zip
61108-3940
Phone Number
815-387-8390
Fax Number
815-387-9055
person
Provider Business Mailing Address Details
Address
1111 S Alpine Rd Ste 401
City
Rockford
State
Illinois
Zip
61108-3940
Phone Number
815-387-8390
Fax Number
815-387-9055
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
(Illinois)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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