MEDICARE: HONEY STRICKLAND

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1194360677
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HONEY STRICKLAND

Provider Business Mailing Address
First Line	:	5779 S GOLDEN DR
Second Line	:
City	:	MURRAY
State	:	UT
Zip	:	84123-5737
Country	:	US
Telephone Number	:	801-440-3174
Fax Number	:

Provider Business Practice Location Address
First Line	:	958 E 5750 S
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84121-1635
Country	:	US
Telephone Number	:	801-440-3174
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2019
Last Update Date	:	11/08/2019

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Directions to “ HONEY STRICKLAND ” Practice Location

Language	Start Address	Practice Location

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