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FQHCLA247G 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 - Watt
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-030238
340B ID
FQHCLA247G
Grant Number
LALCS00018
Additional Details
Current Program Status
Active
Registration Date
4/14/2020
Participating Start Date
7/1/2020
Participating Approval Date
4/29/2020
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
4986 Watt Ave Ste D
North Highlands, CA 95660-5182
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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