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RWI482021 Wellness Networks, Inc (Terminated)
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Main Details
Name
Wellness Networks, Inc
Subdivision Name
Type
Ryan White Part A
340B ID
RWI482021
Grant Number
H89HA00021
Additional Details
Current Program Status
Terminated
Registration Date
4/17/2018
Participating Start Date
7/1/2018
Participating Approval Date
4/19/2018
Last Recertification Date
1/31/2024
Time Period the Assistance was Received
3/1/2020 - 2/29/2024
Termination Date
Termination Reason
10/1/2024
Loss of qualifying grant/support
Contacts
Authorizing Official
Vivent Health
Timothy Denis Dyer, Executive Vice President & CFO
(414) 225-1542
Primary Contact
Vivent Health
Daniel Guinn, VP Compliance & General Counsel
(608) 316-8602
Addresses
Street Address
3968 Mount Elliott Street
Detroit, MI 48207
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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Participating from effective date (10/1/2015) until terminated effective date (04/01/2018), reinstatement date effective date (07/01/2018)
04/18/2018
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