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Mr. Willie Nathaniel Dixon
Assisted Living Facility in Wilson, North Carolina
NPI 1063544096

Willie Nathaniel Dixon is an Assisted Living Facility based in Wilson, NC. Willie Nathaniel Dixon practices in Wilson, NC. The NPI Number for Willie Nathaniel Dixon is 1063544096 and holds a License No. FCL-098-009 (North Carolina).

The current practice location address for Willie Nathaniel Dixon is 2817 Tilghman Rd N, Wilson, NC and can be reached out via phone at 252-243-9827 and via fax at 252-291-9448. You can also correspond with Willie Nathaniel Dixon through the mailing address at 2817 TILGHMAN RD N, WILSON, NC - 27896-8908 (mailing address contact number: 252-243-9827).

Location: 2817 Tilghman Rd N, Wilson, NC, 27896-8908
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063544096
Provider Name
Willie Nathaniel Dixon
Credential
Provider Entity Type
Individual
Gender
Male
Address
2817 Tilghman Rd N, Wilson, NC, 27896-8908
Phone Number
252-243-9827
Fax Number
252-291-9448
Provider Enumeration Date
03/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7801424 05 NC
institution
Provider Business Practice Location Address Details
Address
2817 Tilghman Rd N
City
Wilson
State
North Carolina
Zip
27896-8908
Phone Number
252-243-9827
Fax Number
252-291-9448
person
Provider Business Mailing Address Details
Address
2817 Tilghman Rd N
City
Wilson
State
North Carolina
Zip
27896-8908
Phone Number
252-243-9827
Fax Number
252-291-9448
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
FCL-098-009 (North Carolina)
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.
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