NPI 1235758897

Hawks Landing of Idaho LLC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Bonners Ferry, ID

Practice location

Address: 222 Nighthawk Rd, Bonners Ferry, ID 83805-5441
Phone: (208) 946-7005

Authorised official

Name: Sara Elizabeth Tadlock
Title: Coo
Phone: (208) 255-9460

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Registry record

NPI: 1235758897
Entity type: Organization
NPI issued: 14 Apr 2020
Record last updated: 14 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.