Organization
HEALTH AND LIFE ORGANIZATION, INC
Active
Parent organization
HEALTH AND LIFE ORGANIZATION, INC.
Other names
Sacramento Community Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTH AND LIFE ORGANIZATION, INC.
Authorized official
JERRY T. BLIATOUT JD (ADMINISTRATOR)
(916) 642-1867
Entity
Organization
Contact information
Practice address
3030 EXPLORER DR, SACRAMENTO, CA 95827-2728
(916) 254-5700
Mailing address
3030 EXPLORER DR, SACRAMENTO, CA 95827-2728
(916) 642-1867
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/03/2015
Last updated
11/05/2025
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