| NPI | 1437556677 |
|---|---|
| Doing Business As | FREDERICKA MANOR |
| Entity Type | Organization |
| Authorized Contact | ROBERTA JACOBSEN President 818-729-8100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 374603402) |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2014-12-03 |