| NPI | 1538821707 |
|---|---|
| Doing Business As | FREDERICKA MANOR |
| Entity Type | Organization |
| Authorized Contact | GRANT EDELSTONE Sr. Director Risk Management 925-956-7360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2021-10-06 |