Provider Demographics
NPI:1073298055
Name:YOLO CRISIS NURSEY INC
Entity Type:Organization
Organization Name:YOLO CRISIS NURSEY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, BOARD OF DIRECTORS YOLO
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:S
Authorized Official - Last Name:THAYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-400-0415
Mailing Address - Street 1:1107 KENNEDY PLACE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95616-1273
Mailing Address - Country:US
Mailing Address - Phone:530-758-6680
Mailing Address - Fax:
Practice Address - Street 1:1701 BALSAM PLACE
Practice Address - Street 2:
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95618-1601
Practice Address - Country:US
Practice Address - Phone:530-758-6680
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-19
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No251X00000XAgenciesSupports Brokerage
No385H00000XRespite Care FacilityRespite CareGroup - Multi-Specialty