Provider Demographics
NPI:1548409410
Name:YOUR FAMILY SOLUTION
Entity Type:Organization
Organization Name:YOUR FAMILY SOLUTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RAE-LYNN
Authorized Official - Middle Name:E
Authorized Official - Last Name:BRISTER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:916-682-0971
Mailing Address - Street 1:8359 ELK GROVE FLORIN RD
Mailing Address - Street 2:103-284
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95829-9298
Mailing Address - Country:US
Mailing Address - Phone:916-682-0971
Mailing Address - Fax:916-471-0374
Practice Address - Street 1:8186 QUEENSLAND CT
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95829-6551
Practice Address - Country:US
Practice Address - Phone:916-682-0971
Practice Address - Fax:916-471-0374
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-16
Last Update Date:2009-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health