Provider Demographics
NPI:1598445082
Name:CASTO, MEREDITH SUSAN
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:SUSAN
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 1:2021 STEFFY RD
Mailing Address - Street 2:
Mailing Address - City:MOGADORE
Mailing Address - State:OH
Mailing Address - Zip Code:44260-8886
Mailing Address - Country:US
Mailing Address - Phone:330-704-2456
Mailing Address - Fax:
Practice Address - Street 1:2021 STEFFY RD
Practice Address - Street 2:
Practice Address - City:MOGADORE
Practice Address - State:OH
Practice Address - Zip Code:44260-8886
Practice Address - Country:US
Practice Address - Phone:330-704-2456
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-20
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child