| Health And Life Organization, Inc. | |
|
7275 E Southgate Dr Ste 106 Sacramento CA 95823-2610 | |
| (916) 642-1867 | |
| Not Available |
| Full Name | Health And Life Organization, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 7275 E Southgate Dr Ste 106, Sacramento, California |
| Authorized Official Name and Position | Jerry T Bliatout (CEO) |
| Authorized Official Contact | 9164283788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Health And Life Organization, Inc. 3030 Explorer Dr Sacramento CA 95827-2728 Ph: () - | Health And Life Organization, Inc. 7275 E Southgate Dr Ste 106 Sacramento CA 95823-2610 Ph: (916) 642-1867 |
| NPI Number | 1104484807 |
|---|---|
| Provider Enumeration Date | 05/29/2019 |
| Last Update Date | 11/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104484807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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