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Dixie Lodge, Llc
Physical Disabilities Residential Treatment Facility in Holly, Michigan
NPI 1962916692

Dixie Lodge, Llc is a Physical Disabilities Residential Treatment Facility based in Louisville, MI. Dixie Lodge, Llc practices in Holly, MI. The NPI Number for Dixie Lodge, Llc is 1962916692 and holds a License No. (Michigan).

The current practice location address for Dixie Lodge, Llc is 10483 Dixie Hwy, Holly, MI and can be reached out via phone at 810-866-4277.

Location: 10483 Dixie Hwy, Holly, MI, 40222-7101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962916692
Provider Name
Dixie Lodge, Llc
Credential
Provider Entity Type
Organization
Address
10483 Dixie Hwy, Holly, MI, 40222-7101
Phone Number
810-866-4277
Fax Number
Provider Enumeration Date
11/16/2017
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
10483 Dixie Hwy
City
Holly
State
Michigan
Zip
48442-9311
Phone Number
810-866-4277
Fax Number
person
Provider Business Mailing Address Details
Address
10483 Dixie Hwy
City
Holly
State
Michigan
Zip
48442-9311
Phone Number
810-866-4277
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
()
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Physical Disabilities
Speciality
-
Taxonomy
320700000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
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