Provider Demographics
NPI:1801056379
Name:SOLID ROCK INC
Entity type:Organization
Organization Name:SOLID ROCK INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:OLATUNJI
Authorized Official - Middle Name:OLALEYE
Authorized Official - Last Name:USMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-344-9159
Mailing Address - Street 1:1300 DUNDEE DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76002-3746
Mailing Address - Country:US
Mailing Address - Phone:817-789-4966
Mailing Address - Fax:
Practice Address - Street 1:1300 DUNDEE DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76002-3746
Practice Address - Country:US
Practice Address - Phone:817-789-4966
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities