Individual
CASSANDRA MAYBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2147 COLUMBIA AVE, INDIANAPOLIS, IN 46202-1928
(317) 918-3249
Mailing address
2147 COLUMBIA AVE, INDIANAPOLIS, IN 46202-1928
(317) 918-3249
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
376J00000X
Homemaker
—
IN
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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