Mosaic Of The Southwest in Merced - Intermediate Care Facility, Intellectual Disabilities

Mosaic Of The Southwest - NPI 1720295843

Mosaic Of The Southwest is a Intermediate Care Facility, Intellectual Disabilities in Merced, California. Mosaic Of The Southwest practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Mosaic Of The Southwest is 1720295843. The last update date is 2020-08-22.

Mosaic Of The Southwest's current location address is 775 Columbia Ave, Merced, California. You can contact this provider via phone number 5594510399. The mailing address for Mosaic Of The Southwest is 775 Columbia Ave, Merced, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Mosaic Of The Southwest
Address 775 Columbia Ave, Merced, California
Phone Number 5594510399
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VICE PRESI
Authorized Official Name Montgomery Sally
Telephone Number 4028963884

NPI Number Detail

NPI Number 1720295843
Provider Enumeration Date 2007-05-17
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 775 Columbia Ave
City Merced
State California (CA)
Post Code 953400920
Phone Number 5594510399
Fax Number

Provider's Primary Taxonomy Detail

Speciality Intermediate Care Facility, Intellectual Disabilities
Taxonomy 315P00000X
Definition:
An intermediate care facility providing services for individuals with intellectual disabilities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
LTC80310F CA --

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FAQs about Mosaic Of The Southwest

What is the unique 10-digit identification code assigned to Mosaic Of The Southwest by the Centers for Medicare & Medicaid Services?

The Mosaic Of The Southwest has been issued the NPI (National Provider Identifier) 1720295843, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Mosaic Of The Southwest's facilities are situated?

The facilities of Mosaic Of The Southwest are physically located at the following address: 775 Columbia Ave, Merced, CA, 953400920.

What is the Mosaic Of The Southwest's specialty and taxonomy code?

The Mosaic Of The Southwest's specialty is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code is 315P00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1720295843 to Mosaic Of The Southwest?

The Centers for Medicare & Medicaid Services originally issued the 1720295843 to Mosaic Of The Southwest on 2007-05-17.

As of what date was the information regarding Mosaic Of The Southwest, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Mosaic Of The Southwest, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.

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