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RWI48434 Oakland Livingston Human Service Agency (Terminated)
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Main Details
Name
Oakland Livingston Human Service Agency
Subdivision Name
Type
Ryan White Part A
340B ID
RWI48434
Grant Number
H89HA00021
Additional Details
Current Program Status
Terminated
Registration Date
4/14/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/15/2016
Last Recertification Date
2/12/2017
Time Period the Assistance was Received
Termination Date
Termination Reason
4/1/2018
Failure to recertify
Contacts
Authorizing Official
Ronald B. Borngesser, Chief Executive Officer
(248) 209-2603
Primary Contact
Heather Zeigler, Deputy Director for Health, Housing, & Nutrition
(248) 209-2661
Addresses
Street Address
196 Cesar E. Chavez Ave
Pontiac, MI 48343-0598
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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June 2025
June 2025
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