Organization
ROCKBASE HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OWEN EKHOSUEHI (ADMINISTRATOR)
(678) 863-5688
Entity
Organization
Contact information
Practice address
760 ROCKBASS RD, SUWANEE, GA 30024-8514
(678) 863-5688
Mailing address
760 ROCKBASS RD, SUWANEE, GA 30024-8514
(678) 863-5688
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
067-R-0900
GA
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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