Southeast Rehab Llc.
NPI #1295276970 in Lake Village, Arkansas
Provider Information
- NPI Number
- 1295276970
- Entity Type
- Organization
- Organization Name
- Southeast Rehab Llc.
- Primary Specialty
- Nurse Practitioner - Gerontology
- Enumeration Date
- Mar 15, 2017
- Last Updated
- Jun 28, 2019
Practice Location
- Address
- 903 BORGOGNONI DR
- City
- Lake Village
- State
- Arkansas
- ZIP Code
- 71653-1623
- Phone
- (318) 665-9950
Authorized Official
- Name
- CATHY WALDROP
- Title
- ADMINISTRATOR
- Phone
- (318) 665-9950
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Gerontology — Gerontology |
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