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CHC26616-01 BENEVOLENCE INDUSTRIES INCORPORATED (Active)
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Main Details
Name
BENEVOLENCE INDUSTRIES INCORPORATED
Subdivision Name
Crenshaw Community Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-014691
340B ID
CHC26616-01
Grant Number
H80CS26616
Additional Details
Current Program Status
Active
Registration Date
10/12/2015
Participating Start Date
1/1/2016
Participating Approval Date
10/21/2015
Last Recertification Date
2/20/2025
Contacts
Authorizing Official
Benevolence Health Centers
Kwabena Obeng, CEO
(310) 800-7963
Primary Contact
Benevolence Industries Incorporated - Los Angeles, CA
Godfred Danquah, Compliance
(310) 490-6295
Addresses
Street Address
3631 Crenshaw Blvd
Suite 109
Los Angeles, CA 90016-4869
Billing Address
Benevolence Industries Inc.
1010 Crenshaw Blvd
Suite 100
Torrance, CA 90501
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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