Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SOUTHEAST REHAB LLC
Active OrganizationSOUTHEAST REHAB LLC is a Adolescent Medicine organization located in LAKE VILLAGE, Arkansas. NPI 1942658729 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · LAKE VILLAGE, AR
Registration Details
- NPI Number
- 1942658729
- Provider Type
- Organization
- NPI Issued
- Jun 2, 2016 (10.218800068759 yrs)
- Last Updated
- Jun 28, 2019
Practice Information
- Address
-
903 BORGOGNONI DRLAKE VILLAGE, AR, 716531623Browse AR providers · Browse ZIP 71653
- Phone
- 8702654333
- Fax
- 3186650379
- Primary Specialty
-
Adolescent Medicine
207QA0505X
- Additional Specialty
- Adult Health Nurse Practitioner
- Additional Specialty
- Adolescent Medicine
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.