# MUTUAL CARE MANAGEMENT, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SAME
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366643603
- **Authorized official:** MRS. GRETCHEN REYNOLDS RN (ADMINISTRATOR)
- **Authorized official phone:** (951) 688-3636

## Contact information

- **Practice address:** 9025 COLORADO AVE, RIVERSIDE, CA 92503-2157
- **Practice address phone:** (951) 688-3636
- **Practice address fax:** (951) 688-3031
- **Mailing address:** 9025 COLORADO AVE, RIVERSIDE, CA 92503-2157
- **Mailing address phone:** (951) 688-3636
- **Mailing address fax:** (951) 688-3031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 250000135 | CA | Yes |

## Other

- **Enumeration date:** 05/31/2007
- **Last updated:** 05/14/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1770690034 | NPI | CA |
| 05 | — | LTC06315F | — | CA |