Organization · Type 2 NPI

Hidden Lake Al Opco LLC

Assisted Living Facility · St. Louis, MO

NPI number 1467378661 Active

Practice location

11728 Hidden Lake Dr
St. Louis, MO 63138-1765

Call (314) 355-8833 Map

Fax (314) 736-1098

Mailing address

1869 Craig Park Ct
St. Louis, MO 63146-4122

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

7 other providers at this address

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About NPI 1467378661

Hidden Lake Al Opco LLC's National Provider Identifier is 1467378661, issued on Jun 24, 2026. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in St. Louis, MO. The record was last updated on Jun 24, 2026.