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
102 W PARK ST, FOREST CITY, IA 50436-2132
(641) 585-5450
Mailing address
102 W PARK ST, FOREST CITY, IA 50436-2132
(402) 896-5827
(402) 594-4780
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/08/2020
Last updated
01/18/2024
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