Provider Demographics
NPI:1861626582
Name:SOUTHERN BELLES HOME SWEET HOME CARE
Entity Type:Organization
Organization Name:SOUTHERN BELLES HOME SWEET HOME CARE
Other - Org Name:ALVINA M. DIXON-STYLES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ADMINISTATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ALVINA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-610-0001
Mailing Address - Street 1:812 1/2 WEST 44TH STREET
Mailing Address - Street 2:UPPER
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-1736
Mailing Address - Country:US
Mailing Address - Phone:912-610-0001
Mailing Address - Fax:
Practice Address - Street 1:812 1/2 W 44TH ST
Practice Address - Street 2:UPPER
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-1736
Practice Address - Country:US
Practice Address - Phone:912-238-8283
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-08
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care