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Southeast Rehab LLC — NPI 1700959905, Lake Village, AR | NPI Central

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NPI 1700959905

OrganizationActive

Southeast Rehab LLC

NPI 1700959905 · Rehabilitation Hospital · Lake Village, AR

Provider details

NPI number: 1700959905
Entity type: Organization
Primary specialty: Rehabilitation HospitalHospitals
Organization subpart: No
Authorized official: Catherine Waldrop, Administrator/Ceo(318) 665-9950
License: AR4376 (AR)

Specialties & taxonomies

Rehabilitation HospitalPrimary283X00000XLicense AR4376 (AR)
Hospitals

Practice location

905 Borgognoni Dr

Lake Village, AR 71653-1623

Phone: (318) 665-9950

Fax: (318) 665-0379

Approximate (ZIP-level) locationGet directions

More AR providers

Mailing address

905 Borgognoni Dr

Lake Village, AR 71653-1623

Other names (DBA / former)

Doing business as: Southeast Rehabilitation Hospital

Registry dates

Enumerated: 2006-11-16
Last updated: 2025-11-07
Certified: 2025-11-07

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.