Baldwin Park Congregate Home INC
NPI #1194125658 in Baldwin Park, California
Provider Information
- NPI Number
- 1194125658
- Entity Type
- Organization
- Organization Name
- Baldwin Park Congregate Home INC
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Sep 2, 2014
- Last Updated
- Sep 10, 2014
Practice Location
- Address
- 3462 VINELAND AVE
- City
- Baldwin Park
- State
- California
- ZIP Code
- 91706-5314
- Phone
- (626) 960-6500
Authorized Official
- Name
- ARMANDO ELEGIO EDANG, RN
- Title
- ADMINISTRATOR/DIRECTOR OF NURSING
- Phone
- (909) 908-0846
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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