Whalio Doctors

NPI 1346791944

Renewed Horizons, LLC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Hayden, ID

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
Residential Treatment Facilities Taxonomy 320600000X Licence RHA-5370 (ID)

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.