Provider Demographics
NPI:1770845844
Name:SWEET RELIEF CO. LLC
Entity Type:Organization
Organization Name:SWEET RELIEF CO. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHENIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOVEWINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-307-5096
Mailing Address - Street 1:1 JOHNSTON ST STE 1
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-5532
Mailing Address - Country:US
Mailing Address - Phone:912-328-5463
Mailing Address - Fax:
Practice Address - Street 1:1 JOHNSTON ST STE 1
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405
Practice Address - Country:US
Practice Address - Phone:912-328-5463
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-13
Last Update Date:2018-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies