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Mosaic
Intellectual Disabilities Intermediate Care Facility in Logan, Iowa
NPI 1831246552

Mosaic is a Intellectual Disabilities Intermediate Care Facility based in Omaha, IA. Mosaic practices in Logan, IA. The NPI Number for Mosaic is 1831246552 and holds a License No. 430775 (Iowa).

The current practice location address for Mosaic is 309 East Second Street, Logan, IA and can be reached out via phone at 712-644-2378 and via fax at 712-664-3501.

Location: 309 East Second Street, Logan, IA, 68137-2220
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1831246552
Provider Name
Mosaic
Credential
Provider Entity Type
Organization
Address
309 East Second Street, Logan, IA, 68137-2220
Phone Number
712-644-2378
Fax Number
712-664-3501
Provider Enumeration Date
01/04/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0882027 05 IA
institution
Provider Business Practice Location Address Details
Address
309 East Second Street
City
Logan
State
Iowa
Zip
52546
Phone Number
712-644-2378
Fax Number
712-664-3501
person
Provider Business Mailing Address Details
Address
309 East Second Street
City
Logan
State
Iowa
Zip
52546
Phone Number
712-644-2378
Fax Number
712-664-3501
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
430775 (Iowa)
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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