Mr. Tyson Hanson
Mr. Tyson Hanson is a Child Intellectual and/or Developmental Disabilities Respite Care in Sheley, Idaho. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
1496 N 1070 ESheley, ID 83274
Phone: (208) 521-1837
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Child Intellectual and/or Developmental Disabilities Respite Care (primary) | Taxonomy 385HR2060X |
|---|
Record details
| NPI number | 1457976045 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 10, 2020 |
| Last updated in NPPES | June 10, 2020 |
| Certification date | June 10, 2020 |
| Mailing address | 315 Wind River Dr, Shelley, ID 83274-2101 |