| NPI | 1104687847 |
|---|---|
| Former Name | BRANDON SIPE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 372600000X Adult Companion |
| Additional Taxonomies | 172A00000X Driver |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251X00000X Supports Brokerage | |
| 3747P1801X Technician, Personal Care Attendant | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2024-01-19 |
| Last Update Date | 2025-06-04 |