| NPI | 1609977503 |
|---|---|
| Doing Business As | PETWAY RESIDENTIAL FACILITIES |
| Entity Type | Organization |
| Authorized Contact | ANNEASE PETWAY Owner 251-665-4627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: AL 322D0000X) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-22 |