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Organization
PARAGON REHABILITATION
Active
Organization
PARAGON REHABILITATION
Active
Other names
Willows at Hamburg
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLARK LAIR MULLINS II (PHYSICAL THERAPIST ASSISTANT)
(502) 316-5878
Entity
Organization
Contact information
Practice address
2531 OLD ROSEBUD RD, LEXINGTON, KY 40509-4574
(859) 543-0337
(859) 543-0338
Mailing address
303 N HURSTBOURNE PKWY STE 200, LOUISVILLE, KY 40222-5158
(502) 412-5847
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
A02555
KY
Other
Enumeration date
01/23/2013
Last updated
01/23/2013
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