MOSAIC 1912648411

Name: MOSAIC Specialty: Intellectual Disabilities Intermediate Care Facility Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:

Practice Type: Nursing & Custodial Care Facilities Classification: Intermediate Care Facility, Mentally Retarded Specialization: . Definition of Specialty: (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.

License #(s): , , , , License State(s): , , , ,

Practice Location: MOSAIC,620 EVANS BLVD,PLEASANT HILL,IA,503271974,US Mailing Address: MOSAIC,4980 S 118TH ST,OMAHA,NE,681372200,US

Practice location phone #: 4028965827 Practice location fax #: 4028944780 Mailing address Phone #: 4029681974 Mailing Address fax #: 4028944780 Authorized official Name/Telephone #:JERI, SOLE, DIRECTOR OF PAYER RELATIONS 4029681974

Date NPI was obtained: 04/06/2022 Last data data was updated: 04/06/2022 Insurances: