Provider Demographics
NPI:1821252404
Name:MUTUAL HEALTHCARE SYSTEMS INC
Entity Type:Organization
Organization Name:MUTUAL HEALTHCARE SYSTEMS INC
Other - Org Name:MUTUAL HOME HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:E
Authorized Official - Last Name:MBAH
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:214-731-6988
Mailing Address - Street 1:1220 INDIAN RUN DR
Mailing Address - Street 2:SUITE 621
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-1194
Mailing Address - Country:US
Mailing Address - Phone:469-877-8124
Mailing Address - Fax:214-483-5809
Practice Address - Street 1:1220 INDIAN RUN DR
Practice Address - Street 2:SUITE 621
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-1194
Practice Address - Country:US
Practice Address - Phone:469-877-8124
Practice Address - Fax:214-483-5809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-14
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011544302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization