Mosaic Of The Southwest in Atwater - Intermediate Care Facility, Intellectual Disabilities
Mosaic Of The Southwest - NPI 1972710085
Mosaic Of The Southwest is a Intermediate Care Facility, Intellectual Disabilities in Atwater, 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 1972710085. The last update date is 2020-08-22.
Mosaic Of The Southwest's current location address is 1733 Augusta Ln, Atwater, California. You can contact this provider via phone number 5594510399. The mailing address for Mosaic Of The Southwest is 1733 Augusta Ln, Atwater, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mosaic Of The Southwest |
|---|---|
| Address | 1733 Augusta Ln, Atwater, 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 | 1972710085 |
|---|---|
| Provider Enumeration Date | 2007-05-17 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1733 Augusta Ln |
|---|---|
| City | Atwater |
| State | California (CA) |
| Post Code | 953014903 |
| 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 |
|---|---|---|---|
| LTC80010H | CA | -- |
Post Comment/ Review Below
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) 1972710085, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Mosaic Of The Southwest?
The Mosaic Of The Southwest is physically situated at 1733 Augusta Ln, in the city of Atwater, state of CA, with the postal code 953014903.
What is Mosaic Of The Southwest's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mosaic Of The Southwest is Intermediate Care Facility, Intellectual Disabilities, and the taxonomy classification code that categorizes this area of expertise is 315P00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1972710085 to Mosaic Of The Southwest?
The Centers for Medicare & Medicaid Services originally issued the 1972710085 to Mosaic Of The Southwest on 2007-05-17.
As of what date were the Mosaic Of The Southwest's details last updated?
The information pertaining to the Mosaic Of The Southwest, including its address, specialty, and other details, was most recently updated on 2020-08-22.