Individual
CYNTHIA AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121A MISSISSIPPI DR, WAYNESBORO, MS 39367-3049
(601) 410-2400
Mailing address
231 GRAVEL HILL RD, STATE LINE, MS 39362-9517
(601) 394-9810
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
172V00000X
Community Health Worker
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
374T00000X
Religious Nonmedical Nursing Personnel
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
08/08/2022
Last updated
08/11/2022
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