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Mosaic
Intellectual Disabilities Intermediate Care Facility in Grand Island, Nebraska
NPI 1720273386

Mosaic is a Intellectual Disabilities Intermediate Care Facility based in Omaha, NE. Mosaic practices in Grand Island, NE. The NPI Number for Mosaic is 1720273386 and holds a License No. (Nebraska).

The current practice location address for Mosaic is 2915 W Faidley Ave, Grand Island, NE and can be reached out via phone at 308-381-1690 and via fax at 308-381-6520.

Location: 2915 W Faidley Ave, Grand Island, NE, 68137-2220
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720273386
Provider Name
Mosaic
Credential
Provider Entity Type
Organization
Address
2915 W Faidley Ave, Grand Island, NE, 68137-2220
Phone Number
308-381-1690
Fax Number
308-381-6520
Provider Enumeration Date
09/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ICFMR01 05 NE
institution
Provider Business Practice Location Address Details
Address
2915 W Faidley Ave
City
Grand Island
State
Nebraska
Zip
68803-4108
Phone Number
308-381-1690
Fax Number
308-381-6520
person
Provider Business Mailing Address Details
Address
2915 W Faidley Ave
City
Grand Island
State
Nebraska
Zip
68803-4108
Phone Number
308-381-1690
Fax Number
308-381-6520
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
(Nebraska)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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