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Organization
MUTUAL CARE MANAGEMENT, INC.
Active
Organization
MUTUAL CARE MANAGEMENT, INC.
Active
Other names
SAME
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRETCHEN REYNOLDS RN (ADMINISTRATOR)
(951) 688-3636
Entity
Organization
Contact information
Practice address
9025 COLORADO AVE, RIVERSIDE, CA 92503-2157
(951) 688-3636
(951) 688-3031
Mailing address
9025 COLORADO AVE, RIVERSIDE, CA 92503-2157
(951) 688-3636
(951) 688-3031
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
250000135
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770690034
NPI
CA
05
—
LTC06315F
—
CA
Enumeration date
05/31/2007
Last updated
05/14/2010
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