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New Way Out, Corporation

Details

Name: New Way Out, Corporation
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 29 Dec 1999 (25 years ago) (Companies founded in December 1999)
Entity Number: 000-207-090
Register Number: 000207090
ZIP code: 36619 (Companies in Mobile, 36619)
County: Mobile
Place of Formation: Mobile County
Principal Address: MOBILE, AL
Registered Office Street Address: 4618 GENERAL RDMOBILE, AL 36619
Authorized Capital: 2

Activities RESIDENTIAL FACILITIES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1609977503 2006-09-26 2020-08-22 PO BOX 191533, MOBILE, AL, 366196533, US 712 OAK CIRCLE DR E, MOBILE, AL, 366094222, US

Contacts

Phone +1 251-665-4627
Fax 2516619599
Fax 2516669599

Authorized person

Name MRS. ANNEASE PETWAY
Role OWNER
Phone 2516654627

Taxonomy

Taxonomy Code 320600000X - Intellectual and/or Developmental Disabilities Residential Treatment Facility
License Number 322D0000X
State AL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 33909248
State AL

Agent

Name Role Address
PETWAY, DAVID Agent 712 OAK CIRCLE DR EAST SUITE 11MOBILE, AL 36619

Incorporator

Name Role
PETWAY, DAVID MICHAEL Incorporator

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State