MR. WILLIE NATHANIEL DIXON
NPI 1063544096
Assisted Living Facility in Wilson, NC

Active since March 13, 2007
2817 TILGHMAN RD N, WILSON, NC 27896(252) 243-9827(252) 291-9448 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Willie Nathaniel Dixon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. WILLIE NATHANIEL DIXON (NPI 1063544096) is an individual assisted living facility provider in Wilson, North Carolina, licensed in North Carolina (FCL-098-009) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1063544096
Entity TypeIndividualMale
Primary Taxonomy310400000X
Provider Legal NameMR. WILLIE NATHANIEL DIXON
Location Address2817 TILGHMAN RD NWilson, NC 27896-8908
Mailing Address2817 Tilghman Rd NWilson, NC 27896-8908 · (252) 243-9827 · Fax (252) 291-9448
Fax(252) 291-9448
Sole ProprietorYes
Enumeration DateMarch 13, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1063544096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in NC · FCL-098-009
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

2817 TILGHMAN RD N, Wilson, NC 27896

Other Identifiers 1

Medicaid7801424NC

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Assisted Living Facility
2817 TILGHMAN RD N
WILSON, NC 27896

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063544096, enumerated as an "individual" on March 13, 2007.

The provider is located at 2817 TILGHMAN RD N WILSON, NC 27896 and the phone number is (252) 243-9827.

Assisted Living Facility with taxonomy code 310400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.