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CH04412H QUALITY OF LIFE HEALTH SERVICES INC (Active)
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Main Details
Name
QUALITY OF LIFE HEALTH SERVICES INC
Subdivision Name
CULLMAN QUALITY HEALTH CARE
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001134
340B ID
CH04412H
Grant Number
H80CS00658
Additional Details
Current Program Status
Active
Registration Date
7/1/2004
Participating Start Date
7/1/2004
Participating Approval Date
5/25/2004
Last Recertification Date
3/6/2025
Contacts
Authorizing Official
Quality of Life Health Services, Inc.
WAYNE ROWE, CEO
(256) 492-0131
Primary Contact
Quality of Health Services
DERRICK AUSTIN, DIRECTOR OF PHARMACY
(256) 393-4063
Addresses
Street Address
2016 MAIN AVE SW
CULLMAN, AL 35055-5239
Billing Address
QUALITY OF LIFE HEALTH SERVICES, INC. ADMIN
PO BOX 97
GADSDEN, AL 35902-0097
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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12/10/2012 Primary contact updated to correct invalid information [TL]
12/10/2012
NEW SITE 07/01/2004
08/12/2005
June 2025
June 2025
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