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CH053086A Lifecare Family Health & Dental Center, Inc. (Active)
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Main Details
Name
Lifecare Family Health & Dental Center, Inc.
Subdivision Name
Lincoln Street Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000969
340B ID
CH053086A
Grant Number
H80CS06654
Additional Details
Current Program Status
Active
Registration Date
3/11/2008
Participating Start Date
4/1/2008
Participating Approval Date
3/12/2008
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
Lifecare Family Health & Dental Center, Inc
Eric Niemeyer, CEO
(330) 454-2000 Ext: 150
Primary Contact
Lifecare Family Health and Dental Center, Inc.
Patricia Johnson, CFO
(330) 454-2000 Ext: 214
Addresses
Street Address
2725 Lincoln St E
Canton, OH 44707-2769
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
June 2025
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