Provider Demographics
NPI:1093565673
Name:BRANDY BANDY
Entity Type:Organization
Organization Name:BRANDY BANDY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTARTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BRANDY
Authorized Official - Middle Name:CHRYSTOL
Authorized Official - Last Name:BANDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-372-7657
Mailing Address - Street 1:1600 CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48601-2837
Mailing Address - Country:US
Mailing Address - Phone:989-702-6223
Mailing Address - Fax:
Practice Address - Street 1:1600 CEDAR ST
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48601-2837
Practice Address - Country:US
Practice Address - Phone:989-372-7657
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care