Individual
JUSTIN SOLOMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7800 S ELATI ST, LITTLETON, CO 80120-4483
(303) 484-8990
(303) 484-8676
Mailing address
PO BOX 80728, LINCOLN, NE 68501-0728
(402) 742-0311
(402) 742-0312
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
36358851
CO
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
36358851
CO
343900000X
Non-emergency Medical Transport (VAN)
36358851
CO
373H00000X
Day Training/Habilitation Specialist
36358851
CO
376J00000X
Homemaker
36358851
CO
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
36358851
CO
Other
Enumeration date
02/09/2017
Last updated
01/07/2020
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