Organization
HEALTH AND LIFE ORGANIZATION, INC.
Active
Other names
Sacramento Community Clinic - B. Teri Burns Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY BLIATOUT (CEO)
(916) 642-1867
Entity
Organization
Contact information
Practice address
3301 FONG RANCH RD, SACRAMENTO, CA 95834-1719
(916) 642-1867
Mailing address
3030 EXPLORER DR, SACRAMENTO, CA 95827-2728
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/10/2017
Last updated
05/04/2023
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