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Southeast Rehab LLC

Adult Medicine Physician in Lake Village, AR · enumerated 2016 · authorized official Cathy Waldrop, Chairman.

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

National Provider Identifier

1942658729

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Registry record

Entity type Organization (Type 2)
Legal business name Southeast Rehab LLC
Other name <Unavail>
Practice address 903 Borgognoni Dr, Lake Village, AR, 71653
Phone (870) 265-4333
Fax (318) 665-0379
Enumeration date Jun 2, 2016
Last updated in NPPES Jun 28, 2019

Taxonomy & classification

207QA0505X Adult Medicine Physician Allopathic & Osteopathic Physicians Primary
363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363LA2200X Adult Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Cathy Waldrop
Title Chairman
Phone (318) 665-9950

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

Who is the authorized official for Southeast Rehab LLC?
NPPES lists Cathy Waldrop (Chairman) as the authorized official for this organization.
What is the NPI number for Southeast Rehab LLC?
The NPI for Southeast Rehab LLC is 1942658729, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-06-28.