OrganizationActive
Mosaic
NPI 1821136813 · Child Physical Disabilities Respite Care · San Angelo, TX
Provider details
- NPI number
- 1821136813
- Entity type
- Organization
- Primary specialty
- Child Physical Disabilities Respite CareRespite Care Facility
- Organization subpart
- No
- Authorized official
- Dean Wilson, Vp Accounting(402) 896-3884
Specialties & taxonomies
Respite Care Facility
Nursing & Custodial Care Facilities
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000X
Residential Treatment Facilities
Respite Care Facility
Practice location
5191 S Bryant Blvd
San Angelo, TX 76904-9561
Phone: (325) 651-3333
Fax: (325) 651-8110
Approximate (ZIP-level) locationGet directions
Mailing address
4980 S 118th St
Omaha, NE 68137-2220
Registry dates
- Enumerated
- 2007-02-02
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.