# FMM HOME CARE CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FMM HOME CARE CORPORATION
- **Other names:** Bethany Home Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1487613147
- **Legal business name:** FMM HOME CARE CORPORATION
- **Authorized official:** MS. DOLORES DIZON (BILLING MANAGER)
- **Authorized official phone:** (951) 924-7751

## Contact information

- **Practice address:** 4649 BROCKTON AVE, RIVERSIDE, CA 92506-0131
- **Practice address phone:** (951) 924-7751
- **Practice address fax:** (951) 924-9042
- **Mailing address:** 4649 BROCKTON AVE, RIVERSIDE, CA 92506-0131
- **Mailing address phone:** (951) 924-7751
- **Mailing address fax:** (951) 924-9042

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 250000608 | CA | Yes |

## Other

- **Enumeration date:** 03/21/2006
- **Last updated:** 06/16/2025
