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
5806 S 147TH ST, OMAHA, NE 68137-2538
(402) 896-3884
Mailing address
4980 S 118TH ST, OMAHA, NE 68137-2200
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
NE
Other
Enumeration date
05/17/2010
Last updated
01/18/2024
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