Provider Demographics
NPI:1417022450
Name:TUTT'S CARE, INC
Entity Type:Organization
Organization Name:TUTT'S CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IDA
Authorized Official - Middle Name:W
Authorized Official - Last Name:TUTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-780-2995
Mailing Address - Street 1:19351 LURIN AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92508-9608
Mailing Address - Country:US
Mailing Address - Phone:951-780-2995
Mailing Address - Fax:951-780-1142
Practice Address - Street 1:14510 RIO BRAVO RD
Practice Address - Street 2:
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92553-7170
Practice Address - Country:US
Practice Address - Phone:951-242-5123
Practice Address - Fax:951-780-1142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities