Beatrice Petway
Custodial Care Facility, Adult Care Home in Rocky Mount, NC. Organization (NPI-2).
NPI number1962547505
StatusActive
Last updated in NPPESSep 19, 2023
Details
- NPI
- 1962547505
- Entity type
- Organization (NPI-2)
- Legal business name
- Beatrice Petway
- Organization subpart
- No
- Enumeration date
- Feb 21, 2007
- Certification date
- Sep 19, 2023
- Last updated
- Sep 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311ZA0620X | Custodial Care Facility, Adult Care Home | FCL033006 | NC | Yes |
Other names
- Your Loving Family Care Home 1 (Doing Business As)
Practice location
730 Marigold StRocky Mount, NC 27801-5908
Phone 252-446-5559 · Fax 252-446-5560
Mailing address
730 Marigold StRocky Mount, NC 27801-5908
Phone 252-446-5559 · Fax 252-442-1147
Authorized official
Beatrice Petway
Owner
2528135960
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