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RWI200110 Andromeda Transcultural Health (Terminated)
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Main Details
Name
Andromeda Transcultural Health
Subdivision Name
Type
Ryan White Part A
340B ID
RWI200110
Grant Number
H89HA00012
Additional Details
Current Program Status
Terminated
Registration Date
4/14/2018
Participating Start Date
7/1/2018
Participating Approval Date
4/24/2018
Last Recertification Date
2/4/2022
Time Period the Assistance was Received
4/24/2018 - 1/31/2023
Termination Date
Termination Reason
4/1/2023
Failure to recertify
Contacts
Authorizing Official
Andromeda Transcultural Health
Alvaro Guzman, Executive Director
(202) 291-4707 Ext: 128
Primary Contact
Andromeda Transcultural Health
Shauna Mayes, Practice Manager
(202) 291-4707 Ext: 118
Addresses
Street Address
1400 Decatur St. NW
Washington, DC 20011
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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