Provider Demographics
NPI:1619563046
Name:CATO, HAILEY MARIE
Entity Type:Individual
Prefix:
First Name:HAILEY
Middle Name:MARIE
Last Name:CATO
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 1:14878 KIT CARSON DR.
Mailing Address - Street 2:
Mailing Address - City:EAST GARRISON
Mailing Address - State:CA
Mailing Address - Zip Code:93933
Mailing Address - Country:US
Mailing Address - Phone:831-240-9109
Mailing Address - Fax:
Practice Address - Street 1:14878 KIT CARSON DR.
Practice Address - Street 2:
Practice Address - City:EAST GARRISON
Practice Address - State:CA
Practice Address - Zip Code:93933
Practice Address - Country:US
Practice Address - Phone:831-240-9109
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-20
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health