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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