Healthcare Provider Details

I. General information

NPI: 1134844780
Provider Name (Legal Business Name): ROCKSOLID CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2022
Last Update Date: 10/06/2022
Certification Date: 10/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2116 HOLLOW BROOK DR STE 100
COLORADO SPRINGS CO
80918-1443
US

IV. Provider business mailing address

17720 COUNTY ROAD 291
NATHROP CO
81236-9777
US

V. Phone/Fax

Practice location:
  • Phone: 303-653-1336
  • Fax:
Mailing address:
  • Phone: 303-653-1336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: LUCAS GLEN RICHARDSON
Title or Position: PRESIDENT
Credential:
Phone: 303-653-1336