Organization
HEALTH AND LIFE ORGANIZATION, INC.
Active
Organization
HEALTH AND LIFE ORGANIZATION, INC.
Active
Other names
Sacramento Community Clinic - B. Teri Burns
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY T BLIATOUT (CEO)
(916) 642-1867
Entity
Organization
Contact information
Practice address
3314 FONG RANCH RD, SACRAMENTO, CA 95834
(916) 642-1867
Mailing address
3030 EXPLORER DR, SACRAMENTO, CA 95827-2728
(916) 642-1867
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
122300000X
Dentist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/25/2024
Last updated
11/21/2024
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