Healthcare Provider Details

I. General information

NPI: 1265515639
Provider Name (Legal Business Name): NU-WAY HOUSE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2006
Last Update Date: 09/18/2024
Certification Date: 09/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2217 NICOLLET AVE
MINNEAPOLIS MN
55404-3382
US

IV. Provider business mailing address

2217 NICOLLET AVE SOUTH
MINNEAPOLIS MN
55404-3382
US

V. Phone/Fax

Practice location:
  • Phone: 612-235-4694
  • Fax:
Mailing address:
  • Phone: 612-767-0309
  • Fax: 612-870-3796

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: TOM MEIER
Title or Position: CFO
Credential:
Phone: 612-767-0313