Provider Demographics
NPI:1275131211
Name:DIXONS HOME CARE SOLUTIONS, L.L.C.
Entity Type:Organization
Organization Name:DIXONS HOME CARE SOLUTIONS, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LESLEY
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:313-844-8035
Mailing Address - Street 1:16668 FREELAND ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48235-4500
Mailing Address - Country:US
Mailing Address - Phone:313-844-8035
Mailing Address - Fax:
Practice Address - Street 1:16668 FREELAND ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48235-4500
Practice Address - Country:US
Practice Address - Phone:313-844-8035
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-13
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health