Mosaic
Intermediate Care Facility, Intellectual Disabilities in Des Moines, IA. Organization (NPI-2).
NPI number1053463992
StatusActive
Last updated in NPPESJan 22, 2024
Details
- NPI
- 1053463992
- Entity type
- Organization (NPI-2)
- Legal business name
- Mosaic
- Organization subpart
- No
- Enumeration date
- Jan 18, 2007
- Certification date
- Jan 22, 2024
- Last updated
- Jan 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | 770674 | IA | Yes |
Practice location
1609 Cummins ParkwayDes Moines, IA 50311-0000
Phone 515-246-1840 · Fax 515-246-8236
Mailing address
4980 S 118th StOmaha, NE 68137-2220
Phone 402-896-3884 · Fax 402-894-4780
Authorized official
Scott Hoffman
Senior Vp & Chief Financial Officer
4028963884
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All 27 Intellectual Disabilities Intermediate Care Facility providers in Des Moines · All 6,858 providers in Des Moines
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