Individual
JOHN PETTIGREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
PO BOX 31, VALENTINE, NE 69201-0031
(402) 376-2900
Mailing address
525 N MAIN ST, VALENTINE, NE 69201-1527
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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