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Mosaic

Intermediate Care Facility, Intellectual Disabilities in Denison, IA. Organization (NPI-2).

NPI number1730231663
StatusActive
Last updated in NPPESNov 6, 2020

Details

NPI
1730231663
Entity type
Organization (NPI-2)
Legal business name
Mosaic
Organization subpart
No
Enumeration date
Jan 18, 2007
Certification date
Nov 6, 2020
Last updated
Nov 6, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
315P00000X Intermediate Care Facility, Intellectual Disabilities240787IAYes

Practice location

1200 S 15th St
Denison, IA 51442-2800

Phone 712-644-2378 · Fax 712-664-3501

Mailing address

4980 S 118th St
Omaha, NE 68137-2220

Phone 402-896-3884 · Fax 402-894-4780

Authorized official

Jeri Sole
Director Of Billing
4028965827

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