Hidden Lake Management LLC
NPI #1467707380 in Raytown, Missouri
Provider Information
- NPI Number
- 1467707380
- Entity Type
- Organization
- Organization Name
- Hidden Lake Management LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 17, 2012
- Last Updated
- Dec 2, 2015
Practice Location
Authorized Official
- Name
- JUDAH BIENSTOCK
- Title
- MANAGING MEMBER
- Phone
- (314) 812-2550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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