Hidden Lake Management Llc

NPI 1467707380 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1467707380
Enumeration Date 07/17/2012
Last Updated 12/02/2015
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name JUDAH JUDAH
Position MANAGING MEMBER
Phone (816) 737-1010
Fax (816) 737-3022
Practice Location
11400 HIDDEN LAKE DR
RAYTOWN MO, 64133-7409, US
Phone (816) 737-1010
Fax (816) 737-3022
Business Location
11400 HIDDEN LAKE DR
RAYTOWN MO, 64133-7409, US
Phone (816) 737-1010
Fax (816) 737-3022
Toxanomy
Taxonomy Code 314000000X
License State
License Number
Remove 1467707380 NPI Number
 

According to our database, Hidden Lake Management Llc NPI is 1467707380, taxonomy code is 314000000X Hidden Lake Management Llc physically located at 11400 Hidden Lake Dr, Raytown MO, 64133-7409. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1467707380 NPI number is provided on an as is basis without warranty of any kind. 1467707380 is maintained by the National Plan & Provider Enumeration System. The contents of Hidden Lake Management Llc are for informational purposes only.