NPI 1194358523

Southeast Rehab LLC

Organisation Rural Health Clinic/Center Lake Village, AR

Practice location

Address: 608 S Highway 65 82, Lake Village, AR 71653-1743
Phone: (870) 265-4333
Fax: (318) 665-9950
Mailing address: PO Box 743, Lake Village, AR 71653-0743

Authorised official

Name: Catherine Martin Waldrop
Title: Administrator
Phone: (318) 665-9950

Registered specialties (2)

Rural Health Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QR1300X

Other Clinic/Center providers in Arkansas →

Rehabilitation Hospital

Hospitals Taxonomy 283X00000X

Other Rehabilitation Hospital providers in Arkansas →

Registry record

NPI: 1194358523
Entity type: Organization
NPI issued: 13 Feb 2020
Record last updated: 24 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.