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Southeast Rehab LLC

Rehabilitation Hospital in Lake Village, AR · enumerated 2006 · authorized official Catherine Waldrop, Administrator/Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1700959905

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Registry record

Entity type Organization (Type 2)
Legal business name Southeast Rehab LLC
Other name <Unavail>
Practice address 905 Borgognoni Dr, Lake Village, AR, 71653
Fax (318) 665-0379
Enumeration date Nov 16, 2006
Last updated in NPPES Nov 7, 2025

Taxonomy & classification

283X00000X Rehabilitation Hospital Hospitals · License AR4376 (AR) Primary

Authorized official

Name Catherine Waldrop
Title Administrator/Ceo

Other identifiers

Identifier Type State Issuer
163180526 Medicaid AR -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-11-07. Verify at npiregistry.cms.hhs.gov.
Where is Southeast Rehab LLC located?
The practice location on file with NPPES is in Lake Village, AR.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-11-07.