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General NPI Number Information
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NPI Number | 1366448706
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Entity Type | Organization
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Legal Business Name | GERRY HOMES INC
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Dates
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Enumeration Date | 06/21/2005
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 150 PRATHER AVE
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City | JAMESTOWN
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State | NY
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Zip | 14701-6710
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Country | US
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Telephone | 716-488-1921
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Fax | 716-484-2933
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Provider Business Mailing Address
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Address Line | PO BOX 360
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City | GERRY
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State | NY
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Zip | 14740-0360
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Country | US
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Telephone | 716-985-6813
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Fax | 716-985-6607
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Authorized Official
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Title or Position | CEO
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Name | LISA HAGLUND
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Credential |
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Telephone | 716-488-1921
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 0602310N
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License Number State | NY
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