Individual
AMY POTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16004 BROADWAY AVE, MAPLE HEIGHTS, OH 44137-2575
(216) 269-1487
Mailing address
13314 CRANWOOD DR, GARFIELD HTS, OH 44105-6812
(216) 269-1487
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
376G00000X
Nursing Home Administrator
—
—
Other
Enumeration date
09/17/2024
Last updated
12/21/2024
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