Provider Demographics
NPI:1205353695
Name:NUTOYS LEISURE PRODUCTS, INC.
Entity type:Organization
Organization Name:NUTOYS LEISURE PRODUCTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:STAGGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-579-9055
Mailing Address - Street 1:PO BOX 2121
Mailing Address - Street 2:
Mailing Address - City:LA GRANGE
Mailing Address - State:IL
Mailing Address - Zip Code:60525-8221
Mailing Address - Country:US
Mailing Address - Phone:708-579-9055
Mailing Address - Fax:708-579-0109
Practice Address - Street 1:915 W HILLGROVE AVE
Practice Address - Street 2:
Practice Address - City:LA GRANGE
Practice Address - State:IL
Practice Address - Zip Code:60525-5823
Practice Address - Country:US
Practice Address - Phone:708-579-9055
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-25
Last Update Date:2017-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment