Organization · Type 2 NPI
Baldwin Park Congregate Home Inc
Adult Care Home Facility · Baldwin Park, CA
NPI number
1194125658
Active
Practice location
3462 Vineland Ave
Baldwin Park, CA 91706-5314
Fax (626) 960-4500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 550002799 (CA) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
About NPI 1194125658
Baldwin Park Congregate Home Inc's National Provider Identifier is 1194125658, issued on Sep 2, 2014. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Baldwin Park, CA. The record was last updated on Sep 10, 2014.