Mosaic
Mosaic is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
8816 N Industrial Rd Ste BPeoria, IL 61615-1553
Phone: (309) 693-8115
Fax: (309) 693-8116
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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 | 1801943832 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Scott Hoffman — Sr Vp & Chief Financial Officer · (402) 896-3884 |
| NPI enumerated | January 4, 2007 |
| Last updated in NPPES | July 21, 2022 |
| Certification date | June 17, 2020 |
| Mailing address | 4980 S 118th St, Omaha, NE 68137-2220 |
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