# GERRY HOMES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Heritage Green Outpatient Therapy Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912090184
- **Authorized official:** MATTHEW BOSWELL (VICE PRESIDENT OF FINANCE)
- **Authorized official phone:** (716) 338-9766

## Contact information

- **Practice address:** 3023 ROUTE 430, GREENHURST, NY 14742
- **Practice address phone:** (716) 483-5000
- **Mailing address:** PO BOX 365, GERRY, NY 14740

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | Yes |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 07/13/2022