MOSAIC NPI 1447390992

NPI Information

MOSAIC is an intermediate care facility mentally retarded in Terre Haute, IN. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. MOSAIC NPI is 1447390992. The provider is registered as an organization entity type.

The provider's business location address is:

2901 PROFESSIONAL LN
TERRE HAUTE, IN
ZIP 47802-300
Phone: (812) 235-3399
Fax: (812) 235-1590

The provider's authorized official is Jeri Sole .
The authorized official title is Director Of Billing and has the following contact phone number (402) 896-5827.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 11/6/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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