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CHC26616-06 BENEVOLENCE INDUSTRIES INCORPORATED (Active)
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Main Details
Name
BENEVOLENCE INDUSTRIES INCORPORATED
Subdivision Name
Benevolence Industries, Inc.-Long Beach
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018837
340B ID
CHC26616-06
Grant Number
H80CS26616
Additional Details
Current Program Status
Active
Registration Date
1/11/2017
Participating Start Date
4/1/2017
Participating Approval Date
1/25/2017
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
934 Atlantic Avenue
Long Beach, CA 90813-4515
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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