| Health And Life Organization, Inc. (h.a.l.o.) | |
|
2485 Sunrise Blvd Ste A Gold River CA 95670-4344 | |
| (916) 642-1867 | |
| Not Available |
| Full Name | Health And Life Organization, Inc. (h.a.l.o.) |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2485 Sunrise Blvd Ste A, Gold River, California |
| Authorized Official Name and Position | Jerry T Bliatout (CEO) |
| Authorized Official Contact | 9166421867 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Health And Life Organization, Inc. (h.a.l.o.) 3030 Explorer Dr Sacramento CA 95827-2728 Ph: () - | Health And Life Organization, Inc. (h.a.l.o.) 2485 Sunrise Blvd Ste A Gold River CA 95670-4344 Ph: (916) 642-1867 |
| NPI Number | 1841025962 |
|---|---|
| Provider Enumeration Date | 09/06/2024 |
| Last Update Date | 09/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841025962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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