Organization
FRONT PORCH COMMUNITIES AND SERVICES
Active
Other names
Fredericka Manor
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT EDELSTONE (SR. DIRECTOR RISK MANAGEMENT)
(925) 956-7360
Entity
Organization
Contact information
Practice address
183 THIRD AVE, CHULA VISTA, CA 91910-1822
(619) 205-4100
(619) 422-2686
Mailing address
2185 N CALIFORNIA BLVD STE 215, WALNUT CREEK, CA 94596-3566
(925) 956-7360
(925) 956-7360
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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