# ROCKY MOUNTAIN INDEPENDENCE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013462712
- **Authorized official:** TARA GOLDSBY (CO-OWNER / DIRECTOR)
- **Authorized official phone:** (303) 482-7100

## Contact information

- **Practice address:** 1630 MILLER ST, LAKEWOOD, CO 80215-2709
- **Practice address phone:** (303) 482-7100
- **Mailing address:** 1630 MILLER ST, LAKEWOOD, CO 80215-2709
- **Mailing address phone:** (303) 482-7100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171W00000X | Contractor | — | — | Yes |
| 376J00000X | Homemaker | — | — | — |
| 385H00000X | Respite Care | — | — | — |

## Other

- **Enumeration date:** 08/23/2016
- **Last updated:** 02/15/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 98254032 | — | CO |