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Organization

MOSAIC

Active
Organization subpart
No

Provider details

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

Contact information

Practice address
315 COUNTRY CLUB DR, BELMOND, IA 50421-1740
(641) 585-5451
Mailing address
102 W PARK ST, FOREST CITY, IA 50436-2132

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary

Other

Enumeration date
03/26/2012
Last updated
06/08/2021
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