| Health And Life Organization, Inc. (h.a.l.o.) | |
|
4986 Watt Ave Ste D North Highlands CA 95660-5182 | |
| (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 | 4986 Watt Ave Ste D, North Highlands, 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: (916) 642-1867 | Health And Life Organization, Inc. (h.a.l.o.) 4986 Watt Ave Ste D North Highlands CA 95660-5182 Ph: (916) 642-1867 |
| NPI Number | 1598301921 |
|---|---|
| Provider Enumeration Date | 11/20/2019 |
| Last Update Date | 03/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598301921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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