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Organization
IDA'S HOUSE OF VERMONT PROFESSIONAL LIMITED LIABILITY COMPANY
Active
Organization
IDA'S HOUSE OF VERMONT PROFESSIONAL LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TINEY RAY PHD, DNP, FNP,PMHNP (OWNER)
(678) 701-4679
Entity
Organization
Contact information
Practice address
360 NEW RD, BRANDON, VT 05733-8396
(802) 247-0381
(888) 502-6598
Mailing address
360 NEW RD, BRANDON, VT 05733-8396
(802) 247-0381
(888) 502-6598
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
Other
Enumeration date
05/02/2026
Last updated
05/02/2026
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