Provider Demographics
NPI:1144824707
Name:HEART STRINGS INTIMATE APPAREL
Entity type:Organization
Organization Name:HEART STRINGS INTIMATE APPAREL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:UKRIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:ENTWISTLE
Authorized Official - Suffix:
Authorized Official - Credentials:CMF
Authorized Official - Phone:828-513-1158
Mailing Address - Street 1:1620 BREVARD RD UNIT 30
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28791-3221
Mailing Address - Country:US
Mailing Address - Phone:828-513-1158
Mailing Address - Fax:
Practice Address - Street 1:1620 BREVARD RD UNIT 30
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28791-3221
Practice Address - Country:US
Practice Address - Phone:828-513-1158
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-24
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies