| NPI | 1669308169 |
|---|---|
| Doing Business As | HIDDEN LAKE HEALTH CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS DESTEFANE President 314-543-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2026-06-22 |
| Last Update Date | 2026-06-22 |