Organization · Type 2 NPI
Mosaic
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Waukon, IA
Practice location
12 E Main, Suite 102
Waukon, IA 52172
Fax (563) 568-4789
Mailing address
4980 S 118th St
Omaha, NE 68137-2220
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1154478857
Mosaic's National Provider Identifier is 1154478857, issued on Jan 4, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Waukon, IA. The record was last updated on Jun 11, 2020.