Mosaic
Mosaic is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Pontiac, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
110 W Water St Ste 2Pontiac, IL 61764-1949
Phone: (815) 842-4166
Fax: (815) 842-4053
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X (IL) |
|---|
Record details
| NPI number | 1053468553 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Scott Hoffman — Svp/Chief Financial Officer · (402) 896-3884 |
| NPI enumerated | January 5, 2007 |
| Last updated in NPPES | September 28, 2023 |
| Certification date | September 28, 2023 |
| Mailing address | 4980 S 118th St, Omaha, NE 68137-2200 |