# BALDWIN GARDENS NURSING CENTER CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Baldwin Gardens Nursing Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396806998
- **Authorized official:** ISRAEL BASTOMSKI (PRESIDENT)
- **Authorized official phone:** (323) 397-6512

## Contact information

- **Practice address:** 10786 LIVE OAK AVE, TEMPLE CITY, CA 91780-2944
- **Practice address phone:** (626) 447-3553
- **Mailing address:** 10786 LIVE OAK AVE, TEMPLE CITY, CA 91780-2944
- **Mailing address phone:** (626) 447-3553

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 08/01/2024