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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