Organization · Type 2 NPI

Mosaic

Intellectual Disabilities Intermediate Care Facility · Des Moines, IA

NPI number 1972655819 Active

Practice location

2317 Vine Street
Des Moines, IA 50265-0000

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 315P00000X770042 (IA)

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

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About NPI 1972655819

Mosaic's National Provider Identifier is 1972655819, 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 Jun 11, 2020.