institution
Mosaic
Intellectual Disabilities Intermediate Care Facility in Des Moines, Iowa
NPI 1972655819

Mosaic is a Intellectual Disabilities Intermediate Care Facility based in Omaha, IA. Mosaic practices in Des Moines, IA. The NPI Number for Mosaic is 1972655819 and holds a License No. 770042 (Iowa).

The current practice location address for Mosaic is 2317 Vine Street, Des Moines, IA and can be reached out via phone at 515-246-1840 and via fax at 515-246-8236. 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: 2317 Vine Street, Des Moines, IA, 68137-2220
institution
Provider Profile Details
NPI Number
1972655819
Provider Name
Mosaic
Credential
Provider Entity Type
Organization
Address
2317 Vine Street, Des Moines, IA, 68137-2220
Phone Number
515-246-1840
Fax Number
515-246-8236
Provider Enumeration Date
01/18/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0881870 05 IA
institution
Provider Business Practice Location Address Details
Address
2317 Vine Street
City
State
Zip
50265-0000
Phone Number
515-246-1840
Fax Number
515-246-8236
person
Provider Business Mailing Address Details
Address
4980 S 118Th St
City
State
Zip
68137-2220
Phone Number
402-896-3884
Fax Number
402-894-4780
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
770042 (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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