Organization · Type 2 NPI
Mosaic
Intellectual Disabilities Intermediate Care Facility · West Des Moines, IA
NPI number
1063564904
Active
Practice location
2009 Prospect Avenue
West Des Moines, IA 50265-0000
Fax (515) 246-8236
Mailing address
4980 S 118th St
Omaha, NE 68137-2220
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 770095 (IA) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Other intellectual disabilities intermediate care facility providers in West Des Moines
About NPI 1063564904
Mosaic's National Provider Identifier is 1063564904, issued on Jan 18, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in West Des Moines, IA. The record was last updated on Jun 11, 2020.