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RWI20012 Casa Ruby, Inc. (Terminated)
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Main Details
Name
Casa Ruby, Inc.
Subdivision Name
Type
Ryan White Part A
340B ID
RWI20012
Grant Number
H89HA00012
Additional Details
Current Program Status
Terminated
Registration Date
10/9/2020
Participating Start Date
1/1/2021
Participating Approval Date
12/1/2020
Last Recertification Date
2/28/2021
Time Period the Assistance was Received
3/1/2020 - 2/28/2021
Termination Date
Termination Reason
4/1/2022
Failure to recertify
Contacts
Authorizing Official
Casa Ruby Inc.
Ruby Corado, Executive Director
(202) 641-8028
Primary Contact
Casa Ruby, Inc
Angela Brown, Director of Preventive Health
(240) 606-5247
Addresses
Street Address
7530 Georgia Avenue NW
Washington, DC 20012
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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