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Organization

MOSAIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SCOTT HOFFMAN (CHIEF FINANCIAL OFFICER)
(402) 896-3884
Entity
Organization

Contact information

Practice address
1402 SETTLERS LN, DENISON, IA 51442-1132
(712) 644-2234
(712) 644-3501
Mailing address
4980 S 118TH ST, OMAHA, NE 68137-2220
(402) 896-3884
(402) 894-4780

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0439919
IA
Enumeration date
01/18/2007
Last updated
12/31/2024
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