Organization
NUTOYS LEISURE PRODUCTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOIRA STAGGS (PRESIDENT)
(708) 579-9055
Entity
Organization
Contact information
Practice address
915 W HILLGROVE AVE, LA GRANGE, IL 60525-5823
(708) 579-9055
Mailing address
PO BOX 2121, LA GRANGE, IL 60525-8221
(708) 579-9055
(708) 579-0109
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
08/25/2017
Last updated
08/25/2017
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