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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