| NPI | 1366871287 |
|---|---|
| Doing Business As | FREDERICKA MANOR CARE CENTER |
| Doing Business As | FREDERICKA MANOR |
| Entity Type | Organization |
| Authorized Contact | GRANT EDELSTONE Sr. Director Risk Management 925-956-7360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: CA 374600802) |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2021-07-29 |