Organization · Type 2 NPI

Southeast Rehab LLC

Rural Health Clinic/Center · Lake Village, AR

NPI number 1194358523 Active

Practice location

608 S Highway 65 82
Lake Village, AR 71653-1743

Call (870) 265-4333 Map

Fax (318) 665-9950

Mailing address

PO Box 743
Lake Village, AR 71653-0743

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed
Rehabilitation Hospital	283X00000X	None listed

Rural Health Clinic/Center: Definition to come...

18 other providers at this address

Other rural health clinic/center providers in Lake Village

Chicot Memorial Medical CenterRural Health Clinic/Center Lake Village, AR NPI 1003213281
Lake Village Clinic PARural Health Clinic/Center Lake Village, AR NPI 1306801212
Chicot Memorial Medical CenterRural Health Clinic/Center Lake Village, AR NPI 1821953092

See all in Lake Village →

NPI record

NPI: 1194358523
Entity type: Organization (Type 2)
Issued: Feb 13, 2020
Last updated: Mar 24, 2023
Status: Active
Subpart: Yes of Southeast Rehab LLC

Other names

<unavail>
Southeast Rural Health Clinic · doing business as
Southeast Rural Health Clinic · doing business as

Authorized official

Catherine Martin Waldrop
Administrator
(318) 665-9950

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About NPI 1194358523

Southeast Rehab LLC's National Provider Identifier is 1194358523, issued on Feb 13, 2020. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Lake Village, AR. The record was last updated on Mar 24, 2023.