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RWII44102A Nueva Luz Urban Resource Center (Active)
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Main Details
Name
Nueva Luz Urban Resource Center
Subdivision Name
Type
Ryan White Part B
340B ID
RWII44102A
Grant Number
X07HA00016
Additional Details
Current Program Status
Active
Registration Date
10/4/2019
Participating Start Date
1/1/2020
Participating Approval Date
12/9/2019
Last Recertification Date
2/14/2025
Time Period the Assistance was Received
2/9/2024 - 3/31/2027
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
221 West 21st Street
#6
Lorain, OH 44052
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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June 2025
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