Organization · Type 2 NPI
Mosaic
Intellectual Disabilities Intermediate Care Facility · Grand Island, NE
NPI number
1720273386
Active
Practice location
2915 W Faidley Ave
Grand Island, NE 68803-4108
Fax (308) 381-6520
Mailing address
4980 S 118th St
Omaha, NE 68137-2220
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | None listed |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Another provider at this address
Other intellectual disabilities intermediate care facility providers in Grand Island
About NPI 1720273386
Mosaic's National Provider Identifier is 1720273386, issued on Sep 7, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Grand Island, NE. The record was last updated on Jun 11, 2025.