MEDICARE: MR. PERCY AKOTO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1568598589
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PERCY AKOTO

Provider Business Mailing Address
First Line	:	PO BOX 3253
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45401-3253
Country	:	US
Telephone Number	:	937-832-3874
Fax Number	:

Provider Business Practice Location Address
First Line	:	5502 SAVINA AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45415-1144
Country	:	US
Telephone Number	:	937-832-3874
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	07/08/2007

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Directions to “ MR. PERCY AKOTO ” Practice Location

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