Organization
MOSAIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT HOFFMAN (SENIOR VP & CHIEF FINANICAL OFFICER)
(402) 896-3884
Entity
Organization
Contact information
Practice address
209 W WASHINGTON ST, OSCEOLA, IA 50213-1249
(402) 877-3667
Mailing address
4980 S 118TH ST, OMAHA, NE 68137-2200
(402) 896-5827
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/14/2018
Last updated
09/22/2023
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