Organization
HEALTH AND LIFE ORGANIZATION, INC
Active
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 JD (ADMINISTRATOR)
(916) 428-3788
Entity
Organization
Contact information
Practice address
7275 E SOUTHGATE DR, SUITE 204, SACRAMENTO, CA 95823-2628
(916) 428-3788
(916) 428-0788
Mailing address
3030 EXPLORER DR, SACRAMENTO, CA 95827-2728
(916) 642-1867
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
207Q00000X
Family Medicine Physician
A73749
CA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/25/2007
Last updated
01/19/2022
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