Organization
HEALTH AND LIFE ORGANIZATION, INC. (H.A.L.O.)
Active
Other names
Sacramento Community Clinic - Watt Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY T BLIATOUT (CEO)
(916) 642-1867
Entity
Organization
Contact information
Practice address
4986 WATT AVE STE D, NORTH HIGHLANDS, CA 95660-5182
(916) 642-1867
Mailing address
3030 EXPLORER DR, SACRAMENTO, CA 95827-2728
(916) 642-1867
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/20/2019
Last updated
03/30/2022
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