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Organization

ROADWAY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROADWAY LLC (ADMINISTRATION)
(612) 437-4150
Entity
Organization

Contact information

Practice address
1650 W END BLVD # 172, ST LOUIS PARK, MN 55416-5367
(612) 437-4150
Mailing address
1650 W END BLVD # 172, ST LOUIS PARK, MN 55416-5367
(612) 437-4150

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
02/08/2023
Last updated
02/14/2026
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