NPI 1801943832

Mosaic

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Peoria, IL

Practice location

Address: 8816 N Industrial Rd Suite B, Peoria, IL 61615-1553
Phone: (309) 693-8115
Fax: (309) 693-8116
Mailing address: 4980 S 118th St, Omaha, NE 68137-2220

Authorised official

Name: Scott Hoffman
Title: Sr 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 Illinois →

Registry record

NPI: 1801943832
Entity type: Organization
NPI issued: 4 Jan 2007
Record last updated: 21 Jul 2022

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.