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CH09288T LIFELONG MEDICAL CARE (Terminated)
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Main Details
Name
LIFELONG MEDICAL CARE
Subdivision Name
Marin County Adult Day Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-007609
340B ID
CH09288T
Grant Number
H80CS00808
Additional Details
Current Program Status
Terminated
Registration Date
10/15/2014
Participating Start Date
1/1/2015
Participating Approval Date
10/23/2014
Last Recertification Date
2/20/2024
Termination Date
Termination Reason
4/1/2025
Business decision by the Covered Entity
Contacts
Authorizing Official
Lifelong Medical Care
Cecilia Aviles, Chief Executive Officer
(415) 812-1585
Primary Contact
Lifelong Medical Care
Ka Tung Hui, Pharmacy director
(510) 981-3248
Addresses
Street Address
1905 Novato Blvd
Novato, CA 94947-2912
Billing Address
LifeLong Medical Care
PO Box 11247
Berkeley, CA 94712-2247
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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