# ROADWAY WI

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851138218
- **Authorized official:** MULKI SHIRWA (DIRECTOR)
- **Authorized official phone:** (414) 209-4145

## Contact information

- **Practice address:** 777 N JEFFERSON ST STE 408, MILWAUKEE, WI 53202-3713
- **Practice address phone:** (414) 209-4145
- **Mailing address:** 777 N JEFFERSON ST STE 408, MILWAUKEE, WI 53202-3713
- **Mailing address phone:** (414) 209-4145

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 343800000X | Secured Medical Transport (VAN) | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |

## Other

- **Enumeration date:** 07/12/2024
- **Last updated:** 07/12/2024