Provider Demographics
NPI:1629307137
Name:SOUTHEAST REHAB LLC
Entity Type:Organization
Organization Name:SOUTHEAST REHAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZEMBAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-786-0850
Mailing Address - Street 1:2555 MERIDIAN BLVD
Mailing Address - Street 2:STE. 330
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-6363
Mailing Address - Country:US
Mailing Address - Phone:615-786-0850
Mailing Address - Fax:615-786-0851
Practice Address - Street 1:2555 MERIDIAN BLVD
Practice Address - Street 2:STE. 330
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-6363
Practice Address - Country:US
Practice Address - Phone:615-786-0850
Practice Address - Fax:615-786-0851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-11
Last Update Date:2009-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy