NPI 1346791944
Renewed Horizons, LLC
Practice location
- Address
- 8252 N Wayne Dr, Hayden, ID 83835-5029
- Phone
- (208) 963-5645
Authorised official
- Name
- Scott Gordon Hansen
- Title
- Administrator
- Phone
- (208) 963-5645
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1346791944
- Entity type
- Organization
- NPI issued
- 18 Oct 2016
- Record last updated
- 12 Dec 2023
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.