Organization
BALDWIN PARK CONGREGATE HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARMANDO ELEGIO EDANG RN (ADMINISTRATOR/DIRECTOR OF NURSING)
(909) 908-0846
Entity
Organization
Contact information
Practice address
3462 VINELAND AVE, BALDWIN PARK, CA 91706-5314
(626) 960-6500
(626) 960-4500
Mailing address
3462 VINELAND AVE, BALDWIN PARK, CA 91706-5314
(626) 960-6500
(626) 960-4500
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
550002799
CA
Other
Enumeration date
09/02/2014
Last updated
09/10/2014
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