NPI 1154478857

Mosaic

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Waukon, IA

Practice location

Address: 12 E Main Suite 102, Waukon, IA 52172
Phone: (563) 568-3992
Fax: (563) 568-4789
Mailing address: 4980 S 118th St, Omaha, NE 68137-2220

Authorised official

Name: Scott Hoffman
Title: Senior Vp & Chief Financial Officer
Phone: (402) 896-3884

Registered specialties

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 Iowa →

Registry record

NPI: 1154478857
Entity type: Organization
NPI issued: 4 Jan 2007
Record last updated: 11 Jun 2020

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.