Organization
MOSAIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT HOFFMAN (SVP & CHIEF FINANCIAL OFFICER)
(402) 896-3884
Entity
Organization
Contact information
Practice address
2814 N 169TH ST, OMAHA, NE 68116-2689
(402) 896-3884
Mailing address
4980 S 118TH ST, OMAHA, NE 68137-2200
(402) 896-3884
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
NE
Other
Enumeration date
05/17/2010
Last updated
10/12/2023
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