Organization · Type 2 NPI
Mosaic
Intellectual Disabilities Intermediate Care Facility · Axtell, NE
NPI number
1972706885
Active
Practice location
1044 23rd Rd
Axtell, NE 68924-3679
Fax (308) 743-2659
Mailing address
4980 S 118th St
Omaha, NE 68137-2220
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | ICFMR02 (NE) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1972706885
Mosaic's National Provider Identifier is 1972706885, issued on Jun 7, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Axtell, NE. The record was last updated on Jan 18, 2024.