Provider Demographics
NPI:1649012451
Name:MIDWAY INC
Entity type:Organization
Organization Name:MIDWAY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:KATUNG
Authorized Official - Middle Name:M
Authorized Official - Last Name:ADUWAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-980-6775
Mailing Address - Street 1:8035 S 117TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98178-3849
Mailing Address - Country:US
Mailing Address - Phone:708-980-6775
Mailing Address - Fax:
Practice Address - Street 1:8035 S 117TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98178-3849
Practice Address - Country:US
Practice Address - Phone:708-980-6775
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-11
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care