Provider Demographics
NPI:1033995139
Name:CASTO, DONNA KAY
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:KAY
Last Name:CASTO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1260 HERITAGE CT
Mailing Address - Street 2:
Mailing Address - City:ORRVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44667-1160
Mailing Address - Country:US
Mailing Address - Phone:330-465-7639
Mailing Address - Fax:
Practice Address - Street 1:1260 HERITAGE CT
Practice Address - Street 2:
Practice Address - City:ORRVILLE
Practice Address - State:OH
Practice Address - Zip Code:44667-1160
Practice Address - Country:US
Practice Address - Phone:330-465-7639
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-05
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker