| NPI | 1023428281 |
|---|---|
| Doing Business As | MOSAIC LIFE CARE AT SHOAL CREEK ASC |
| Entity Type | Organization |
| Authorized Contact | CINDY G PATTERSON Managed Care Contract Analyst 816-271-7861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: MO 251-0) |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2016-09-09 |