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FQHCLA406 Tender Care Community Clinic, Inc. (Active)
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Main Details
Name
Tender Care Community Clinic, Inc.
Subdivision Name
Tender Care Community Clinic, Inc.
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-029837
340B ID
FQHCLA406
Grant Number
LALCS33879
Additional Details
Current Program Status
Active
Registration Date
4/2/2020
Participating Start Date
7/1/2020
Participating Approval Date
4/9/2020
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Tender Care Community Clinic, Inc
Tom Lee Santos, CEO
(562) 869-7007
Primary Contact
Tender Care Community Clinic, inc
Lesly Herrera, Admin
(562) 869-7007 Ext: 216
Addresses
Street Address
7862 Firestone Blvd
Downey, CA 90241-4221
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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Last Recertification Date: 03/25/2021
03/25/2021
April 2025
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