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Organization

MOSAIC

Active
Other names
Mosaic
Organization subpart
No

Provider details

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

Contact information

Practice address
11141 AURORA AVE BLDG 3, URBANDALE, IA 50322-7904
(515) 246-1840
(515) 246-8236
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
11/05/2019
Last updated
01/09/2024
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