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Organization
GERRY HOMES INC
Active
Organization
GERRY HOMES INC
Active
Other names
Heritage Green Outpatient Therapy Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW BOSWELL (VICE PRESIDENT OF FINANCE)
(716) 338-9766
Entity
Organization
Contact information
Practice address
3023 ROUTE 430, GREENHURST, NY 14742
(716) 483-5000
Mailing address
PO BOX 365, GERRY, NY 14740
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
NULL
Other
Enumeration date
10/02/2006
Last updated
07/13/2022
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