Provider Demographics
NPI:1215131784
Name:LITE, PATRICIA CABATO
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:CABATO
Last Name:LITE
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 1:2690 MARGARET DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89506-8651
Mailing Address - Country:US
Mailing Address - Phone:775-972-6318
Mailing Address - Fax:
Practice Address - Street 1:2690 MARGARET DR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89506-8651
Practice Address - Country:US
Practice Address - Phone:775-972-6318
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-11
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV205-AGC-33311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home