Hawks Landing of Idaho LLC
NPI #1235758897 in Bonners Ferry, Idaho
Provider Information
- NPI Number
- 1235758897
- Entity Type
- Organization
- Organization Name
- Hawks Landing of Idaho LLC
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Apr 14, 2020
- Last Updated
- Apr 14, 2020
Practice Location
- Address
- 222 NIGHTHAWK RD
- City
- Bonners Ferry
- State
- Idaho
- ZIP Code
- 83805-5441
- Phone
- (208) 946-7005
Authorized Official
- Name
- MRS. SARA ELIZABETH TADLOCK
- Title
- COO
- Phone
- (208) 255-9460
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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