# DIXIE LODGE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rehab Without Walls NeuroSolutions
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962916692
- **Authorized official:** MS. MARGARET SHERRY PEMBERTON (VICE PRESIDENT)
- **Authorized official phone:** (502) 272-3466

## Contact information

- **Practice address:** 10483 DIXIE HWY, HOLLY, MI 48442-9311
- **Practice address phone:** (810) 866-4277
- **Mailing address:** 805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
- **Mailing address phone:** (800) 866-0860

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | — |
| 320700000X | Physical Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 11/16/2017
- **Last updated:** 05/22/2023