# RENEWED HORIZONS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346791944
- **Authorized official:** MR. SCOTT GORDON HANSEN (ADMINISTRATOR)
- **Authorized official phone:** (208) 963-5645

## Contact information

- **Practice address:** 8252 N WAYNE DR, HAYDEN, ID 83835-5029
- **Practice address phone:** (208) 963-5645
- **Mailing address:** 8252 N WAYNE DR, HAYDEN, ID 83835-5029
- **Mailing address phone:** (208) 963-5645

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | RHA-5370 | ID | Yes |

## Other

- **Enumeration date:** 10/18/2016
- **Last updated:** 12/12/2023