Organization
NEW WAY OUT, CORP.
Active
Other names
Petway Residential Facilities
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNEASE PETWAY MSW (OWNER)
(251) 665-4627
Entity
Organization
Contact information
Practice address
712 OAK CIRCLE DR E, MOBILE, AL 36609-4222
(251) 665-4627
(251) 666-9599
Mailing address
PO BOX 191533, MOBILE, AL 36619-6533
(251) 665-4627
(251) 661-9599
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
322D0000X
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33909248
—
AL
Enumeration date
09/26/2006
Last updated
08/22/2020
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