SOUTHEAST REHAB LLC is an adult medicine family medicine in Lake Village, AR. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. SOUTHEAST REHAB LLC NPI is 1942658729. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Southeast Rehabilitation Hospital.
The provider's business location address is:
903 BORGOGNONI DR
LAKE VILLAGE, AR
ZIP 71653-623
Phone: (870) 265-4333
Fax: (318) 665-0379
The provider's authorized official is Cathy M Waldrop .
The authorized official title is Chairman and has the following contact phone number (318) 665-9950.
The enumeration date for this NPI number is 6/2/2016 and was last updated on 6/28/2019.