| NPI | 1467707380 |
|---|---|
| Doing Business As | HIDDEN LAKE CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | JUDAH BIENSTOCK Managing Member 314-812-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2015-12-02 |