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FQHCLA247C HEALTH AND LIFE ORGANIZATION, INC. (H.A.L.O.) (Active)
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Main Details
Name
HEALTH AND LIFE ORGANIZATION, INC. (H.A.L.O.)
Subdivision Name
Sacramento Community Clinic - Del Paso Dental
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-012294
340B ID
FQHCLA247C
Grant Number
LALCS00018
Additional Details
Current Program Status
Active
Registration Date
10/4/2013
Participating Start Date
1/1/2014
Participating Approval Date
11/14/2013
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Health and Life Organization, Inc.
JERRY T. BLIATOUT, CEO
(916) 428-3788 Ext: 4236
Primary Contact
Health and Life Organization, Inc.
Melissa Yang, 340B Compliance Specialist
(916) 642-1867 Ext: 4011
Addresses
Street Address
2138 Del Paso Blvd
Sacramento, CA 95815-3002
Billing Address
Health and Life Organization, Inc. (H.A.L.O.) dba Sacramento Community Clinic
3030 Explorer Drive
Sacramento, CA 95827
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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