# BALDWIN PARK CONGREGATE HOME INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194125658
- **Authorized official:** ARMANDO ELEGIO EDANG RN (ADMINISTRATOR/DIRECTOR OF NURSING)
- **Authorized official phone:** (909) 908-0846

## Contact information

- **Practice address:** 3462 VINELAND AVE, BALDWIN PARK, CA 91706-5314
- **Practice address phone:** (626) 960-6500
- **Practice address fax:** (626) 960-4500
- **Mailing address:** 3462 VINELAND AVE, BALDWIN PARK, CA 91706-5314
- **Mailing address phone:** (626) 960-6500
- **Mailing address fax:** (626) 960-4500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 550002799 | CA | Yes |

## Other

- **Enumeration date:** 09/02/2014
- **Last updated:** 09/10/2014