# PARAGON REHABILITATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Willows at Hamburg
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528306750
- **Authorized official:** MR. CLARK LAIR MULLINS II (PHYSICAL THERAPIST ASSISTANT)
- **Authorized official phone:** (502) 316-5878

## Contact information

- **Practice address:** 2531 OLD ROSEBUD RD, LEXINGTON, KY 40509-4574
- **Practice address phone:** (859) 543-0337
- **Practice address fax:** (859) 543-0338
- **Mailing address:** 303 N HURSTBOURNE PKWY STE 200, LOUISVILLE, KY 40222-5158
- **Mailing address phone:** (502) 412-5847

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | A02555 | KY | Yes |

## Other

- **Enumeration date:** 01/23/2013
- **Last updated:** 01/23/2013