Provider Demographics
NPI:1336418995
Name:HUSH FINE LINGERIE LLC
Entity Type:Organization
Organization Name:HUSH FINE LINGERIE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:J
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:CFM
Authorized Official - Phone:804-794-4282
Mailing Address - Street 1:15712 WC MAIN STRETT
Mailing Address - Street 2:WESTCHESTER COMMONS SHOPPING CENTER
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113
Mailing Address - Country:US
Mailing Address - Phone:804-794-4282
Mailing Address - Fax:
Practice Address - Street 1:15712 WC MAIN STRETT
Practice Address - Street 2:WESTCHESTER COMMONS SHOPPING CENTER
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23113
Practice Address - Country:US
Practice Address - Phone:804-794-4282
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-27
Last Update Date:2014-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6850510001Medicare NSC