Organization · Type 2 NPI
Mosaic
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Macomb, IL
Practice location
220 N Lafayette St
Macomb, IL 61455-2206
Fax (309) 833-3175
Mailing address
4980 S 118th St
Omaha, NE 68137-2200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | None listed |
| 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.
Another provider at this address
About NPI 1780731281
Mosaic's National Provider Identifier is 1780731281, issued on Jan 5, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Macomb, IL. The record was last updated on Jan 18, 2024.