Organization · Type 2 NPI
Southeast Rehab Llc.
Gerontology Nurse Practitioner · Lake Village, AR
NPI number
1295276970
Active
Practice location
903 Borgognoni Dr
Lake Village, AR 71653-1623
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | None listed |
Gerontology Nurse Practitioner: Definition to come...
5 other providers at this address
- Chicot Operations, LLCSkilled Nursing Facility Lake Village, AR NPI 1376863597
- Chicot SNF Operations LLCSkilled Nursing Facility Lake Village, AR NPI 1700193133
- Jskmf, LLCSkilled Nursing Facility Lake Village, AR NPI 1922677129
- Lake Village Operations LLCSkilled Nursing Facility Lake Village, AR NPI 1427894567
- Southeast Rehab LLCAdult Medicine Physician Lake Village, AR NPI 1942658729
About NPI 1295276970
Southeast Rehab Llc.'s National Provider Identifier is 1295276970, issued on Mar 15, 2017. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Lake Village, AR. The record was last updated on Jun 28, 2019.