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
—
—
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/16/2017
Last updated
05/22/2023
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