| NPI | 1194358523 |
|---|---|
| Doing Business As | SOUTHEAST RURAL HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | CATHERINE MARTIN WALDROP Administrator 318-665-9950 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 283X00000X Rehabilitation Hospital |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2023-03-24 |