Organization · Type 2 NPI
Mosaic
Adult Care Home Facility · Logan, IA
NPI number
1568514487
Active
Practice location
217 E 7th St
Logan, IA 51546-1348
Fax (712) 664-3501
Mailing address
4980 S 118th St
Omaha, NE 68137-2220
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 780204 (IA) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
3 other providers at this address
About NPI 1568514487
Mosaic's National Provider Identifier is 1568514487, issued on Jan 18, 2007. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Logan, IA. The record was last updated on Aug 22, 2020.