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CH053086D Lifecare Family Health and Dental Center, Inc (Active)
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Main Details
Name
Lifecare Family Health and Dental Center, Inc
Subdivision Name
Massillon Professional Building
Type
HRSA-Funded Health Center
Site ID
BPS-H80-039002
340B ID
CH053086D
Grant Number
H80CS06654
Additional Details
Current Program Status
Active
Registration Date
7/9/2020
Participating Start Date
10/1/2020
Participating Approval Date
7/31/2020
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
Lifecare Family Health & Dental Center, Inc
Eric Niemeyer, CEO
(330) 454-2000 Ext: 150
Primary Contact
Lifecare Family Health and Dental Center, Inc.
Patricia Johnson, CFO
(330) 454-2000 Ext: 214
Addresses
Street Address
830 Amherst Rd NE
Massillon, OH 44646-8525
Billing Address
Lifecare Family Health and Dental Center, Inc.
2725 Lincoln Street East
Canton, OH 44707
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
June 2025
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