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1114692373
RENAISSANCE RANCH HEYBURN
HEYBURN, ID
NPI
1114692373
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Entity Type
Organization
Authorized Contact
TYSON BLAINE DIXON
Owner
801-860-0118
Organization Subpart ?
No
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date
2021-08-10
Last Update Date
2021-08-10
Business Address
RENAISSANCE RANCH HEYBURN
312 S 950 W
HEYBURN, ID 83336-9765
Phone number: 855-736-7262
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Mailing Address
RENAISSANCE RANCH HEYBURN
312 S 950 W
HEYBURN, ID 83336-9765
Phone number:
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