Organization
MOSAIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID A JACOX PHD (CEO)
(402) 896-3884
Entity
Organization
Contact information
Practice address
913 VILLAGE SQUARE, GRETNA, NE 68028
(402) 332-0102
(402) 332-0103
Mailing address
4980 S 118TH ST, OMAHA, NE 68137
(402) 896-3884
(402) 896-1511
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
07/24/2008
Last updated
07/24/2008
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