| NPI | 1477630408 |
|---|---|
| Doing Business As | HIDDEN LAKE CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | RAE A LETTERMAN Administrator 816-595-1834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 032518) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: MO 031364) |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MO 032518) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2011-11-10 |