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Organization
IDA'S HOUSE L.L.C.
Active
Organization
IDA'S HOUSE L.L.C.
Active
Other names
Ida's House
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY DARNELL SCOTT (DIRECTOR/MANAGING AGENT)
(612) 327-0573
Entity
Organization
Contact information
Practice address
1014 IVY AVE E, SAINT PAUL, MN 55106-2082
(612) 327-0573
Mailing address
PO BOX 431403, BROOKLYN PARK, MN 55443-7432
(612) 327-0573
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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