Renewed Horizons, LLC

NPI #1346791944 in Hayden, Idaho

Provider Information

NPI Number
1346791944
Entity Type
Organization
Organization Name
Renewed Horizons, LLC
Primary Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Oct 18, 2016
Last Updated
Dec 12, 2023

Practice Location

Address
8252 N WAYNE DR
City
Hayden
State
Idaho
ZIP Code
83835-5029
Phone
(208) 963-5645

Authorized Official

Name
MR. SCOTT GORDON HANSEN
Title
ADMINISTRATOR
Phone
(208) 963-5645

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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