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Organization
ROCKY MOUNTAIN INDEPENDENCE LLC
Active
Organization
ROCKY MOUNTAIN INDEPENDENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA GOLDSBY (CO-OWNER / DIRECTOR)
(303) 482-7100
Entity
Organization
Contact information
Practice address
1630 MILLER ST, LAKEWOOD, CO 80215-2709
(303) 482-7100
Mailing address
1630 MILLER ST, LAKEWOOD, CO 80215-2709
(303) 482-7100
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
98254032
—
CO
Enumeration date
08/23/2016
Last updated
02/15/2017
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