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Organization
DIXIE LODGE, LLC
Active
Organization
DIXIE LODGE, LLC
Active
Other names
Rehab Without Walls NeuroSolutions
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARGARET SHERRY PEMBERTON (VICE PRESIDENT)
(502) 272-3466
Entity
Organization
Contact information
Practice address
10483 DIXIE HWY, HOLLY, MI 48442-9311
(810) 866-4277
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
(800) 866-0860
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
—
NULL
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
11/16/2017
Last updated
05/22/2023
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