Organization
HEALTH AND LIFE ORGANIZATION, INC.
Active
Other names
Sacramento Community Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY T BLIATOUT J.D. (ADMINISTRATOR)
(916) 428-3788
Entity
Organization
Contact information
Practice address
2200 DEL PASO BLVD, SACRAMENTO, CA 95815-3102
(916) 924-7988
(916) 924-7989
Mailing address
2200 DEL PASO BLVD, SACRAMENTO, CA 95815-3102
(916) 924-7988
(916) 924-7989
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
207Q00000X
Family Medicine Physician
A36371
CA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/21/2006
Last updated
04/21/2022
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