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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