Organization
FMM HOME CARE CORPORATION
Active
Parent organization
FMM HOME CARE CORPORATION
Other names
Bethany Home Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
FMM HOME CARE CORPORATION
Authorized official
MS. DOLORES DIZON (BILLING MANAGER)
(951) 924-7751
Entity
Organization
Contact information
Practice address
4649 BROCKTON AVE, RIVERSIDE, CA 92506-0131
(951) 924-7751
(951) 924-9042
Mailing address
4649 BROCKTON AVE, RIVERSIDE, CA 92506-0131
(951) 924-7751
(951) 924-9042
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
250000608
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
557619
—
CA
Enumeration date
03/21/2006
Last updated
06/16/2025
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