Organization
MOSAIC
Active
Other names
Mosaic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA TIMMONS BA, MA HS, MS PA (PRESIDENT & CHIEF OPERATING OFFICER)
(877) 366-7242
Entity
Organization
Contact information
Practice address
4980 S 118TH ST, OMAHA, NE 68137-2220
(877) 366-7242
Mailing address
4980 S 118TH ST, OMAHA, NE 68137-2220
(877) 366-7242
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/11/2008
Last updated
04/11/2008
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