NPI 1235281171

Mosaic

Organisation Intellectual Disabilities Intermediate Care Facility Des Moines, IA

Practice location

Address: 5417 SW 14th Street, Des Moines, IA 50315-0000
Phone: (515) 246-1840
Fax: (515) 246-8236
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 Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 770790 (IA)

Other Intermediate Care Facility, Intellectual Disabilities providers in Iowa →

Registry record

NPI: 1235281171
Entity type: Organization
NPI issued: 18 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.