OrganizationActive
Ida'S House of Vermont Professional Limited Liability Company
NPI 1386581775 · Adult Care Home Facility · Brandon, VT
Provider details
- NPI number
- 1386581775
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Authorized official
- Tiney Ray, Owner
Practice location
360 New Rd
Brandon, VT 05733-8396
Phone: (802) 247-0381
Fax: (888) 502-6598
Mailing address
360 New Rd
Brandon, VT 05733-8396
Registry dates
- Enumerated
- 2026-05-02
- Last updated
- 2026-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.