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CHC29013-00 JEWISH RENAISSANCE FOUNDATION INC., THE (Active)
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Main Details
Name
JEWISH RENAISSANCE FOUNDATION INC., THE
Subdivision Name
The Jewish Renaissance Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018693
340B ID
CHC29013-00
Grant Number
H80CS29013
Additional Details
Current Program Status
Active
Registration Date
1/12/2017
Participating Start Date
4/1/2017
Participating Approval Date
1/13/2017
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Jewish Renaissance Foundation-CHC
Jaime Rivello, Chief Executive Officer
(732) 324-2114 Ext: 104
Primary Contact
Jewish Renaissance Foundation- Community Health Center
Kristi Zayas, Director of Health Services
(732) 482-9600
Addresses
Street Address
1931 Oak Tree Road
Edison, NJ 08820
Billing Address
Jewish Renaissance Foundation
1090 King Georges Post Road
Building 7
704
Edison, NJ 08837
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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