Organization · Type 2 NPI
Mosaic
Intellectual Disabilities Intermediate Care Facility · Denison, IA
NPI number
1740332667
Active
Practice location
1402 Settlers Lane
Denison, IA 51442-0000
Fax (712) 664-3501
Mailing address
4980 S 118th St
Omaha, NE 68137-2220
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 240383 (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 Denison
About NPI 1740332667
Mosaic's National Provider Identifier is 1740332667, issued on Jan 18, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Denison, IA. The record was last updated on Jun 11, 2020.