Provider Demographics
NPI:1184809386
Name:ALI'S FINE LINGERIE, LLC
Entity type:Organization
Organization Name:ALI'S FINE LINGERIE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HAZEL
Authorized Official - Middle Name:W
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-592-0522
Mailing Address - Street 1:7122 HWY 9
Mailing Address - Street 2:LAKE BOWEN COMMONS
Mailing Address - City:INMAN
Mailing Address - State:SC
Mailing Address - Zip Code:29349-8026
Mailing Address - Country:US
Mailing Address - Phone:864-592-0522
Mailing Address - Fax:
Practice Address - Street 1:1085 OLD CLEMSON HWY
Practice Address - Street 2:SUITE I
Practice Address - City:SENECA
Practice Address - State:SC
Practice Address - Zip Code:29672-8028
Practice Address - Country:US
Practice Address - Phone:864-654-1044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-07
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies