Southeast Rehab LLC
Southeast Rehab LLC is an Adult Medicine Physician in Lake Village, Arkansas. Registered with an NPI since 2016.
- In the registry since
- 2016
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
903 Borgognoni DrLake Village, AR 71653-1623
Phone: (870) 265-4333
Fax: (318) 665-0379
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Medicine Physician (primary) | Taxonomy 207QA0505X |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X |
| Adult Health Nurse Practitioner | Taxonomy 363LA2200X |
Record details
| NPI number | 1942658729 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Cathy Waldrop — Chairman · (318) 665-9950 |
| Other names | Southeast Rehabilitation Hospital |
| NPI enumerated | June 2, 2016 |
| Last updated in NPPES | June 28, 2019 |
| Mailing address | 903 Borgognoni Dr, Lake Village, AR 71653-1623 |