MEDICARE: NUWAY RECOVERY FOUNDATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	177F00000X	Lodging Provider

General Provider Information

NPI Number	:	1467238444
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NUWAY RECOVERY FOUNDATION

Provider Business Mailing Address
First Line	:	2217 NICOLLET AVE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55404-3382
Country	:	US
Telephone Number	:	612-767-0313
Fax Number	:

Provider Business Practice Location Address
First Line	:	508 UNIVERSITY AVE SE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55414-1716
Country	:	US
Telephone Number	:	612-331-6582
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	TOM MEIER
Credential	:
Telephone Number	:	612-767-0313

Provider Enumeration Date	:	09/05/2023
Last Update Date	:	02/07/2024

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Directions to “NUWAY RECOVERY FOUNDATION ” Practice Location

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