NPI 1053468165

Mosaic

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Liberal, KS

Practice location

Address: 441 Industrial Park Ave, Liberal, KS 67901-5107
Phone: (620) 624-3817
Fax: (620) 626-4507
Mailing address: 4980 S 118th St, Omaha, NE 68137-2200

Authorised official

Name: Scott Hoffman
Title: Sr Vp & Chief Financ
Phone: (402) 896-3884

Registered specialties (4)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Kansas →

Case Management Agency

Agencies Taxonomy 251B00000X

Other Case Management providers in Kansas →

Developmentally Disabled Services Day Training Agency

Agencies Taxonomy 251C00000X

Other Day Training, Developmentally Disabled Services providers in Kansas →

Personal Care Attendant

Nursing Service Related Providers Taxonomy 3747P1801X

Other Technician providers in Kansas →

Registry record

NPI: 1053468165
Entity type: Organization
NPI issued: 4 Jan 2007
Record last updated: 18 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.