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RWI48235 Sinai Grace Specialty Care (Active)
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Main Details
Name
Sinai Grace Specialty Care
Subdivision Name
Type
Ryan White Part A
340B ID
RWI48235
Grant Number
H89HA00021
Additional Details
Current Program Status
Active
Registration Date
4/3/2024
Participating Start Date
7/1/2024
Participating Approval Date
6/3/2024
Last Recertification Date
2/11/2025
Time Period the Assistance was Received
3/1/2021 - 3/1/2026
Contacts
Authorizing Official
Sinai Grace Specialty Care
Evelyn Postell-Franklin, Program Coordinator
(313) 966-2800
Primary Contact
Sinai Grace Specialty Care
Wasif Hafeez, Medical Director
(248) 739-5967
Addresses
Street Address
6001 W. Outer Drive, Ste. 207
Detroit, MI 48235
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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Participating from effective date: (04/1/2016) until terminated effective date: (04/01/2024); reinstatement effective date: (07/1/2024)
04/19/2024
May 2025
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