Organization
THE ESTATES OF HIDDEN LAKE LLC
Active
Organization
THE ESTATES OF HIDDEN LAKE LLC
Active
Other names
Extended Care Consulting
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEVI ISRAEL (CEO)
(847) 905-3000
Entity
Organization
Contact information
Practice address
11728 HIDDEN LAKE DR, ST. LOUIS, MO 63138
(314) 355-8833
Mailing address
11728 HIDDEN LAKE DR, ST. LOUIS, MO 63138
(314) 355-8833
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/05/2020
Last updated
08/11/2025
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