Organization
NUTRACO LLC
Active
Other names
NutraSourceRD
Organization subpart
No
Provider details
NPI number
Authorized official
CHAYA SOKOL (CEO)
(718) 510-6776
Entity
Organization
Contact information
Practice address
5691 BROOKFIELD CIR W, FORT LAUDERDALE, FL 33312-6283
(718) 510-6776
Mailing address
121 MOUNTAIN VIEW DR, LAKEWOOD, NJ 08701-5857
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
283X00000X
Rehabilitation Hospital
—
—
310400000X
Assisted Living Facility
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
Other
Enumeration date
04/28/2017
Last updated
07/17/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us