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RWI07501 Well of Hope Community Development Corporation Inc (Terminated)
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Main Details
Name
Well of Hope Community Development Corporation Inc
Subdivision Name
Type
Ryan White Part A
340B ID
RWI07501
Grant Number
H89HA49835
Additional Details
Current Program Status
Terminated
Registration Date
10/2/2017
Participating Start Date
1/1/2018
Participating Approval Date
10/27/2017
Last Recertification Date
2/24/2019
Time Period the Assistance was Received
Termination Date
Termination Reason
4/1/2020
Failure to recertify
Contacts
Authorizing Official
Well of Hope Community Development Corporation, Inc
Jerome King, Executive Director
(973) 523-0700
Primary Contact
Well of Hope Community Development Corporation, Inc
Roger Lester, Program Manager
(973) 523-0700 Ext: 1013
Addresses
Street Address
207 Broadway
Paterson, NJ 07501
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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Participating from effective start date (1/1/2015), until terminated effective date (7/1/2017), reinstatement date effective (01/01/2018)
10/05/2017
April 2025
April 2025
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