| Mosaic | |
|
2170 Business Center Dr Suite 6 Memphis TN 38134-5626 | |
| (901) 372-6100 | |
| (901) 372-6410 |
| Full Name | Mosaic |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2170 Business Center Dr, Memphis, Tennessee |
| Authorized Official Name and Position | Dean Wilson (VP ACCOUNTING) |
| Authorized Official Contact | 4028963884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mosaic 4980 S 118th St Omaha NE 68137-2220 Ph: (402) 896-3884 | Mosaic 2170 Business Center Dr Suite 6 Memphis TN 38134-5626 Ph: (901) 372-6100 |
| NPI Number | 1578600235 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578600235 | NPI | - | NPPES |
| PS0000000050 | Other | TN | SKILLED NURSING |
| L3204M30466177 | Other | TN | MR ADULT HAB SUPP LIVING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Tennessee) | Primary |
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