# ROCKBASE HEALTH SERVICES

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

## Provider details

- **NPI number:** 1134577299
- **Authorized official:** OWEN EKHOSUEHI (ADMINISTRATOR)
- **Authorized official phone:** (678) 863-5688

## Contact information

- **Practice address:** 760 ROCKBASS RD, SUWANEE, GA 30024-8514
- **Practice address phone:** (678) 863-5688
- **Mailing address:** 760 ROCKBASS RD, SUWANEE, GA 30024-8514
- **Mailing address phone:** (678) 863-5688

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 067-R-0900 | GA | Yes |

## Other

- **Enumeration date:** 05/31/2016
- **Last updated:** 05/31/2016