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Mosaic Of The Southwest
Intellectual Disabilities Intermediate Care Facility in Merced, California
NPI 1720295843

Mosaic Of The Southwest is a Intellectual Disabilities Intermediate Care Facility based in Lincoln, CA. Mosaic Of The Southwest practices in Merced, CA. The NPI Number for Mosaic Of The Southwest is 1720295843 and holds a License No. (California).

The current practice location address for Mosaic Of The Southwest is 775 Columbia Ave, Merced, CA and can be reached out via phone at 559-451-0399.

Location: 775 Columbia Ave, Merced, CA, 68508-2900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720295843
Provider Name
Mosaic Of The Southwest
Credential
Provider Entity Type
Organization
Address
775 Columbia Ave, Merced, CA, 68508-2900
Phone Number
559-451-0399
Fax Number
Provider Enumeration Date
05/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LTC80310F 05 CA
institution
Provider Business Practice Location Address Details
Address
775 Columbia Ave
City
Merced
State
California
Zip
95340-0920
Phone Number
559-451-0399
Fax Number
person
Provider Business Mailing Address Details
Address
775 Columbia Ave
City
Merced
State
California
Zip
95340-0920
Phone Number
559-451-0399
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
(California)
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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