National Provider Identifier Database

SOUTHEAST REHAB LLC
Rural Health


Contact Information

SOUTHEAST REHAB LLC
608 S HIGHWAY 65 82
LAKE VILLAGE, AR71653-1743
Phone: 870-265-4333
Fax: 318-665-9950
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X
Rehabilitation Hospital 283X00000X

* Indicates primary specialty

NPI Profile & details for SOUTHEAST REHAB LLC

NPI Number 1194358523
Legal business name
LBN
SOUTHEAST REHAB LLC
Authorized official CATHERINE WALDROP - (ADMINISTRATOR)
Entity Organization
Organization subpart Yes
Enumeration date 02/13/2020
Last updated 03/24/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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