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Mr. Tyson Hanson
Child Intellectual and/or Developmental Disabilities Respite Care in Sheley, Idaho
NPI 1457976045

Tyson Hanson is a Child Intellectual and/or Developmental Disabilities Respite Care based in Shelley, ID and is specialized in Respite Care, Intellectual and/or Developmental Disabilities, Child. Tyson Hanson practices in Sheley, ID. The NPI Number for Tyson Hanson is 1457976045 and holds a License No. (Idaho).

The current practice location address for Tyson Hanson is 1496 N 1070 E, Sheley, ID and can be reached out via phone at 208-521-1837.

Location: 1496 N 1070 E, Sheley, ID, 83274-2101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457976045
Provider Name
Tyson Hanson
Credential
Provider Entity Type
Individual
Gender
Male
Address
1496 N 1070 E, Sheley, ID, 83274-2101
Phone Number
208-521-1837
Fax Number
Provider Enumeration Date
06/10/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1496 N 1070 E
City
Sheley
State
Idaho
Zip
83274
Phone Number
208-521-1837
Fax Number
person
Provider Business Mailing Address Details
Address
1496 N 1070 E
City
Sheley
State
Idaho
Zip
83274
Phone Number
208-521-1837
Fax Number
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
385HR2060X
License No.
()
Definition
A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
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