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Contact Information

AMY POTILLO
16004 BROADWAY AVE
MAPLE HEIGHTS, OH44137-2575
 Phone: 216-269-1487
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

In Home Supportive Care

253Z00000X
 

Nursing Home Administrator

376G00000X
Indicates primary specialty

NPI Profile & details for AMY POTILLO · (Female)

NPI Number 1043047608
Status Active
Credentials
Entity Individual
Enumeration date 09/17/2024
Last updated 12/21/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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