Organization
GREGORY P COLLIS
Active
Other names
Highland Limited Home Care Services Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY PAUL COLLIS (OPERATOR)
(315) 382-6725
Entity
Organization
Contact information
Practice address
212 HIGHLAND ST, SYRACUSE, NY 13203-1603
(315) 382-6725
Mailing address
212 HIGHLAND ST, SYRACUSE, NY 13203-1603
(315) 382-6725
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0824A002
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02072695
—
NY
Enumeration date
05/20/2007
Last updated
06/16/2008
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