TYSON HANSON

SHELEY, ID
NPI1457976045
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child
Enumeration Date2020-06-10
Last Update Date2020-06-10
Business Address
Mr. TYSON HANSON
1496 N 1070 E
SHELEY, ID 83274
Phone number: 208-521-1837
Mailing Address
Mr. TYSON HANSON
315 WIND RIVER DR
SHELLEY, ID 83274-2101
Phone number: 208-521-1837