Organization
FRONT PORCH COMMUNITIES AND SERVICES
Active
Other names
Fredericka Manor, Fredericka Manor Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT EDELSTONE (SR. DIRECTOR RISK MANAGEMENT)
(925) 956-7360
Entity
Organization
Contact information
Practice address
111 THIRD AVE, CHULA VISTA, CA 91910-1822
(619) 427-2777
(619) 427-0394
Mailing address
2185 N CALIFORNIA BLVD STE 215, WALNUT CREEK, CA 94596-3566
(415) 823-5354
(925) 956-7360
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
374600802
CA
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/01/2013
Last updated
07/29/2021
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