| NPI | 1245857135 |
|---|---|
| Doing Business As | HIDDEN LAKE CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | MARY BETH HUNDLEY Chief Accounting Officer 863-259-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2020-07-21 |