Organization · Type 2 NPI
Southeast Rehab LLC
Adult Medicine Physician · Lake Village, AR
NPI number
1942658729
Active
Practice location
903 Borgognoni Dr
Lake Village, AR 71653-1623
Fax (318) 665-0379
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | None listed |
| Medical Physician Assistant | 363AM0700X | None listed |
| Adult Health Nurse Practitioner | 363LA2200X | None listed |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
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 Llc.Gerontology Nurse Practitioner Lake Village, AR NPI 1295276970
About NPI 1942658729
Southeast Rehab LLC's National Provider Identifier is 1942658729, issued on Jun 2, 2016. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Lake Village, AR. The record was last updated on Jun 28, 2019.