NPI 1700959905
Southeast Rehab LLC
Practice location
- Address
- 905 Borgognoni Dr, Lake Village, AR 71653-1623
- Phone
- (318) 665-9950
- Fax
- (318) 665-0379
Authorised official
- Name
- Catherine Martin Waldrop
- Title
- Administrator/Ceo
- Phone
- (318) 665-9950
Registered specialties
Rehabilitation Hospital
Primary
Registry record
- NPI
- 1700959905
- Entity type
- Organization
- NPI issued
- 16 Nov 2006
- Record last updated
- 7 Nov 2025
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.