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CH05188I DETROIT HEALTH CARE FOR THE HOMELESS (Active)
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Main Details
Name
DETROIT HEALTH CARE FOR THE HOMELESS
Subdivision Name
Advantage Health Centers-McNichols
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010295
340B ID
CH05188I
Grant Number
H80CS00033
Additional Details
Current Program Status
Active
Registration Date
1/1/2005
Participating Start Date
1/1/2005
Participating Approval Date
12/14/2004
Last Recertification Date
2/17/2025
Contacts
Authorizing Official
Detroit Health care for the Homeless
Nina Abubakari, Executive Director
(313) 416-6259
Primary Contact
Advantage Health Centers
Nicole Smith, Chief Financial Officer
(313) 416-6232
Addresses
Street Address
15400 W. McNichols St
Detroit, MI 48235-3724
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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2/28/11 UPDATED PHYS ADD (WAS 20548 FENKELL STREET 48223)
02/28/2011
April 2025
April 2025
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