Southeast Rehab Llc in Lake Village - Rehabilitation Hospital
Southeast Rehab Llc - NPI 1700959905
Southeast Rehab Llc is a Rehabilitation Hospital in Lake Village, Arkansas. Southeast Rehab Llc practices all healthcare services and medical treatments related to Rehabilitation Hospital. The NPI Number for Southeast Rehab Llc is 1700959905. The last update date is 2019-06-28.
Southeast Rehab Llc's current location address is 903 Borgognoni Dr, Lake Village, Arkansas. You can contact this provider via phone number 3186659950 and fax number 3186650379. The mailing address for Southeast Rehab Llc is 903 Borgognoni Dr, Lake Village, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southeast Rehab Llc |
|---|---|
| Address | 903 Borgognoni Dr, Lake Village, Arkansas |
| Phone Number | 3186659950 |
| Fax Number | 3186650379 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Waldrop Martin Catherine |
| Credentials | MED, LPC, |
| Telephone Number | 3186659950 |
NPI Number Detail
| NPI Number | 1700959905 |
|---|---|
| Provider Enumeration Date | 2006-11-16 |
| Last Updated Date | 2019-06-28 |
Provider Mailing Address Detail
| Address | 903 Borgognoni Dr |
|---|---|
| City | Lake Village |
| State | Arkansas (AR) |
| Post Code | 716531623 |
| Phone Number | 3186659950 |
| Fax Number | 3186650379 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation Hospital |
|---|---|
| Taxonomy | 283X00000X |
| Licence No | AR4376 |
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Definition: A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 163180526 | AR | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Southeast Rehab Llc by the Centers for Medicare & Medicaid Services?
The Southeast Rehab Llc has been issued the NPI (National Provider Identifier) 1700959905, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Southeast Rehab Llc is physically located?
The Southeast Rehab Llc is physically situated at the following address: 903 Borgognoni Dr, Lake Village, AR, 716531623.
What is the Southeast Rehab Llc's area of specialization and corresponding taxonomy classification?
The Southeast Rehab Llc's specialty field is Rehabilitation Hospital, and it falls under the taxonomy code 283X00000X, which categorizes healthcare providers based on their specialties.
On what date did the Southeast Rehab Llc receive its 1700959905 assignment from the Centers for Medicare & Medicaid Services?
The Southeast Rehab Llc was assigned its 1700959905 by the Centers for Medicare & Medicaid Services on 2006-11-16.
As of what date was the information pertaining to Southeast Rehab Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Southeast Rehab Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-06-28.