Southeast Rehabilitation Hospital

LBN: Southeast Rehab Llc
Southeast Rehabilitation Hospital is an health care organization with primary practice located at 903 Borgognoni Dr , Lake Village AR 71653-1623. The organization recently has only one registered license in Hospitals / Rehabilitation Hospital, which is considered as the primary health care specialty. Southeast Rehab Llc can be contacted via phone (318) 665-9950, or through Waldrop, Catherine Martin via phone (318) 665-9950.

Contact Information

Primary practice address
903 Borgognoni Dr Lake Village AR 71653-1623
Phone: (318) 665-9950
Fax: (318) 665-0379
Website:
Map and Directions
Authorized official contact:
Name: Waldrop, Catherine Martin MED, LPC, NBCC
Phone: (318) 665-9950

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Rehabilitation Hospital 283X00000X AR4376 Arkansas

Profile Details

NPI number 1700959905
LBN Legal business name Southeast Rehab Llc
DBA Doing business as Southeast Rehabilitation Hospital
Authorized official Waldrop, Catherine Martin MED, LPC, NBCC
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2006
Last updated Jun 28th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700959905 NPPES
Arkansas MEDICAID 163180526

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