Organization · Type 2 NPI
Mosaic
Intellectual Disabilities Intermediate Care Facility · Logan, IA
NPI number
1831246552
Active
Practice location
309 East Second Street
Logan, IA 52546
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 | 430775 (IA) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1831246552
Mosaic's National Provider Identifier is 1831246552, issued on Jan 4, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Logan, IA. The record was last updated on Jun 11, 2020.