Organization
RENEWED HORIZONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT HANSEN (CEO/ADMINISTRATOR)
(208) 704-8008
Entity
Organization
Contact information
Practice address
8252 N WAYNE DR, HAYDEN, ID 83835-5029
(208) 704-8008
(208) 963-5641
Mailing address
8252 N WAYNE DR, HAYDEN, ID 83835-5029
(208) 704-8008
(208) 963-5641
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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