Organization · Type 2 NPI

Mosaic

Intellectual Disabilities Intermediate Care Facility · Des Moines, IA

NPI number 1720130669 Active

Practice location

3114 E 42nd Street
Des Moines, IA 50317-1762

Call (515) 246-1840 Map

Fax (515) 246-8236

Mailing address

4980 S 118th St
Omaha, NE 68137-2220

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X770991 (IA)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1720130669

Mosaic's National Provider Identifier is 1720130669, issued on Jan 18, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Des Moines, IA. The record was last updated on Jan 18, 2024.