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CH04023Q Agape Community Health Center, Inc. (Active)
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Main Details
Name
Agape Community Health Center, Inc.
Subdivision Name
Agape Dunn Avenue Ste 38
Type
HRSA-Funded Health Center
Site ID
BPS-H80-031635
340B ID
CH04023Q
Grant Number
H80CS29456
Additional Details
Current Program Status
Active
Registration Date
12/7/2021
Participating Start Date
12/15/2021
Participating Approval Date
12/9/2021
Last Recertification Date
2/21/2025
Contacts
Authorizing Official
Agape Community Health Center, Inc.
Mia L. Jones, CEO
(904) 760-4910
Primary Contact
Agape Family Health
Candace Guyton, Director of Pharmacy
(904) 544-6089
Addresses
Street Address
1680 Dunn Ave Ste 38
Jacksonville, FL 32218-4744
Billing Address
Agape Community Health Center, Inc
120 King Street
Jacksonville, FL 32204
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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