Provider Demographics
NPI:1174220487
Name:STRICKLAND, OLIVETTE
Entity type:Individual
Prefix:MS
First Name:OLIVETTE
Middle Name:
Last Name:STRICKLAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:287 ARROWHEAD DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:GA
Mailing Address - Zip Code:30132-9478
Mailing Address - Country:US
Mailing Address - Phone:678-408-1049
Mailing Address - Fax:
Practice Address - Street 1:287 ARROWHEAD DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:GA
Practice Address - Zip Code:30132-9478
Practice Address - Country:US
Practice Address - Phone:678-408-1049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-08
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health