institution
Mosaic
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Logan, Iowa
NPI 1649322579

Mosaic is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Omaha, IA. Mosaic practices in Logan, IA. The NPI Number for Mosaic is 1649322579 and holds a License No. (Iowa).

The current practice location address for Mosaic is 715 N 2Nd Ave, Logan, IA and can be reached out via phone at 712-644-2234 and via fax at 712-644-3501.

Location: 715 N 2Nd Ave, Logan, IA, 68137-2220
institution
Provider Profile Details
NPI Number
1649322579
Provider Name
Mosaic
Credential
Provider Entity Type
Organization
Address
715 N 2Nd Ave, Logan, IA, 68137-2220
Phone Number
712-644-2234
Fax Number
712-644-3501
Provider Enumeration Date
01/18/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0439919 05 IA
institution
Provider Business Practice Location Address Details
Address
715 N 2Nd Ave
City
State
Zip
51546-1042
Phone Number
712-644-2234
Fax Number
712-644-3501
person
Provider Business Mailing Address Details
Address
715 N 2Nd Ave
City
State
Zip
51546-1042
Phone Number
712-644-2234
Fax Number
712-644-3501
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
(Iowa)
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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