Organization
SOUTHEAST REHAB LLC.
Active
Other names
Southeast Part B Practice
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY WALDROP (ADMINISTRATOR)
(318) 665-9950
Entity
Organization
Contact information
Practice address
903 BORGOGNONI DR, LAKE VILLAGE, AR 71653-1623
(318) 665-9950
Mailing address
903 BORGOGNONI DR, LAKE VILLAGE, AR 71653-1623
(318) 665-9950
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/15/2017
Last updated
06/28/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up