Provider Demographics
NPI:1811418429
Name:IRENE'S LINGERIE INC
Entity Type:Organization
Organization Name:IRENE'S LINGERIE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:L
Authorized Official - Last Name:CHALMERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-630-5940
Mailing Address - Street 1:PO BOX 9167
Mailing Address - Street 2:
Mailing Address - City:DUNDALK
Mailing Address - State:MD
Mailing Address - Zip Code:21222-0167
Mailing Address - Country:US
Mailing Address - Phone:443-519-2114
Mailing Address - Fax:443-926-9007
Practice Address - Street 1:144 MAIN STREET
Practice Address - Street 2:SUITE N
Practice Address - City:EAST HARFORD
Practice Address - State:CT
Practice Address - Zip Code:06118-3290
Practice Address - Country:US
Practice Address - Phone:443-519-2114
Practice Address - Fax:443-455-1402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-05
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies