Provider Demographics
NPI:1548511173
Name:SOUTHERN BELLES CORPORATION
Entity type:Organization
Organization Name:SOUTHERN BELLES CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:ALVINA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-200-4492
Mailing Address - Street 1:10500 ABERCORN ST
Mailing Address - Street 2:SUITE N
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419-1168
Mailing Address - Country:US
Mailing Address - Phone:912-200-4492
Mailing Address - Fax:912-480-9281
Practice Address - Street 1:10500 ABERCORN ST
Practice Address - Street 2:SUITE N
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31419-1168
Practice Address - Country:US
Practice Address - Phone:912-200-4492
Practice Address - Fax:912-480-9281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-22
Last Update Date:2012-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care