Family Medicine, Adult Medicine
SOUTHEAST REHAB LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1942658729 · enumerated 2016-06-02 · record updated 2019-06-28. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: CATHY WALDROP, Chairman · (318) 665-9950
Other names: SOUTHEAST REHABILITATION HOSPITAL
Addresses and phones
- Practice location 903 BORGOGNONI DR, LAKE VILLAGE, AR, 71653-1623 (870) 265-4333 Fax (318) 665-0379 Google Maps Apple Maps OpenStreetMap
- Mailing address 903 BORGOGNONI DR, LAKE VILLAGE, AR, 71653-1623 (318) 665-9950 Fax (318) 665-0379 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Medical 363AM0700X
- Nurse Practitioner, Adult Health 363LA2200X
- Family Medicine, Adult Medicine 207QA0505X · Primary
In this directory
AR Chicot County Lake Village Family Medicine, Adult Medicine
Locations and evidence
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Practice location
LAKE VILLAGE, AR, 716531623
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.