Provider Demographics
NPI:1568598589
Name:AKOTO, PERCY
Entity Type:Individual
Prefix:MR
First Name:PERCY
Middle Name:
Last Name:AKOTO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3253
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45401-3253
Mailing Address - Country:US
Mailing Address - Phone:937-832-3874
Mailing Address - Fax:
Practice Address - Street 1:5502 SAVINA AVE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45415-1144
Practice Address - Country:US
Practice Address - Phone:937-832-3874
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide