Ida'S House Of Vermont Professional Limited Liability Company
Custodial Care Facility, Adult Care Home in Brandon, VT. Organization (NPI-2).
NPI number1386581775
StatusActive
Last updated in NPPESMay 2, 2026
Details
- NPI
- 1386581775
- Entity type
- Organization (NPI-2)
- Legal business name
- Ida'S House Of Vermont Professional Limited Liability Company
- Organization subpart
- No
- Enumeration date
- May 2, 2026
- Certification date
- May 2, 2026
- Last updated
- May 2, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311ZA0620X | Custodial Care Facility, Adult Care Home | – | – | Yes |
Practice location
360 New RdBrandon, VT 05733-8396
Phone 802-247-0381 · Fax 888-502-6598
Mailing address
360 New RdBrandon, VT 05733-8396
Phone 802-247-0381 · Fax 888-502-6598
Authorized official
Tiney Ray
Owner
6787014679
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