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CHC28962-00 HIV/AIDS ALLIANCE FOR REGION TWO, INC. (Active)
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Main Details
Name
HIV/AIDS ALLIANCE FOR REGION TWO, INC.
Subdivision Name
North Blvd Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018650
340B ID
CHC28962-00
Grant Number
H80CS28962
Additional Details
Current Program Status
Active
Registration Date
1/9/2016
Participating Start Date
4/1/2016
Participating Approval Date
1/11/2016
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
HIV-Aids Alliance for Region Two, Inc.
Lyndon Darensbourg, CFO
(225) 424-1734
Primary Contact
HAART
Timothy Young, CEO
(225) 424-1800
Addresses
Street Address
3801 North Blvd.
BATON ROUGE, LA 70806
Billing Address
HIV/AIDS Alliance for Region Two Inc
3801 North Blvd
BATON ROUGE, LA 70806
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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