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Mosaic
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Urbandale, Iowa
NPI 1972655991

Mosaic is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Omaha, IA. Mosaic practices in Urbandale, IA. The NPI Number for Mosaic is 1972655991 and holds a License No. (Iowa).

The current practice location address for Mosaic is 11141 Aurora Ave, Urbandale, 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: 11141 Aurora Ave, Urbandale, IA, 68137-2220
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972655991
Provider Name
Mosaic
Credential
Provider Entity Type
Organization
Address
11141 Aurora Ave, Urbandale, 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
0294926 05 IA
institution
Provider Business Practice Location Address Details
Address
11141 Aurora Ave
City
Urbandale
State
Iowa
Zip
50322-0000
Phone Number
515-246-1840
Fax Number
515-246-8236
person
Provider Business Mailing Address Details
Address
4980 S 118Th St
City
Omaha
State
Nebraska
Zip
68137-2220
Phone Number
402-896-3884
Fax Number
402-894-4780
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
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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