| NPI | 1346572781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE ANGELA JURGAITIS Proprietor 203-755-3640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-02-10 |
| Last Update Date | 2012-07-05 |