Organization
PARAGON REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATLYN JOHNSON (SPEECH THERAPIST)
(770) 845-3602
Entity
Organization
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SLP008299
GA
Other
Enumeration date
02/16/2016
Last updated
02/16/2016
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