Estates of Hidden Lake LLC
NPI #1376175679 in St. Louis, Missouri
Provider Information
- NPI Number
- 1376175679
- Entity Type
- Organization
- Organization Name
- Estates of Hidden Lake LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Feb 5, 2020
- Last Updated
- Aug 11, 2025
Practice Location
Authorized Official
- Name
- MR. LEVI ISRAEL
- Title
- CEO
- Phone
- (847) 905-3000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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