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Mosaic
Intellectual Disabilities Intermediate Care Facility in Axtell, Nebraska
NPI 1972706885

Mosaic is a Intellectual Disabilities Intermediate Care Facility based in Omaha, NE. Mosaic practices in Axtell, NE. The NPI Number for Mosaic is 1972706885 and holds a License No. ICFMR02 (Nebraska).

The current practice location address for Mosaic is 1044 23Rd Rd, Axtell, NE and can be reached out via phone at 308-743-2401 and via fax at 308-743-2659.

Location: 1044 23Rd Rd, Axtell, NE, 68137-2220
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972706885
Provider Name
Mosaic
Credential
Provider Entity Type
Organization
Address
1044 23Rd Rd, Axtell, NE, 68137-2220
Phone Number
308-743-2401
Fax Number
308-743-2659
Provider Enumeration Date
06/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10025284000 01 NE PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
1044 23Rd Rd
City
Axtell
State
Nebraska
Zip
68924-3679
Phone Number
308-743-2401
Fax Number
308-743-2659
person
Provider Business Mailing Address Details
Address
1044 23Rd Rd
City
Axtell
State
Nebraska
Zip
68924-3679
Phone Number
308-743-2401
Fax Number
308-743-2659
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
ICFMR02 (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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