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RWI44102 Nueva Luz Urban Resource Center (Active)
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Main Details
Name
Nueva Luz Urban Resource Center
Subdivision Name
Type
Ryan White Part A
340B ID
RWI44102
Grant Number
H89HA23812
Additional Details
Current Program Status
Active
Registration Date
4/15/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/25/2016
Last Recertification Date
2/14/2025
Time Period the Assistance was Received
2/9/2024 - 2/28/2027
Contacts
Authorizing Official
Nueva Luz
Max Rodas, Chief Executive Officer
(216) 857-0558
Primary Contact
Nueva Luz Urban Resource Center
Kim Rodas, Clinical Supervisor
(216) 857-0559
Addresses
Street Address
6600 Detroit Avenue
Cleveland, OH 44102
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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