Provider Demographics
NPI:1033814512
Name:GREENWAY HERBAL & HEALING
Entity Type:Organization
Organization Name:GREENWAY HERBAL & HEALING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:JUETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-293-3330
Mailing Address - Street 1:W173N9170 SAINT FRANCIS DR STE 19
Mailing Address - Street 2:
Mailing Address - City:MENOMONEE FLS
Mailing Address - State:WI
Mailing Address - Zip Code:53051-1995
Mailing Address - Country:US
Mailing Address - Phone:414-406-3294
Mailing Address - Fax:
Practice Address - Street 1:W173N9170 SAINT FRANCIS DR STE 19
Practice Address - Street 2:
Practice Address - City:MENOMONEE FLS
Practice Address - State:WI
Practice Address - Zip Code:53051-1995
Practice Address - Country:US
Practice Address - Phone:262-293-3330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-03
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes224900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMastectomy FitterGroup - Single Specialty