Organization
ROSSIE HOME HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESE OVABOR (CEO)
(612) 175-6136
Entity
Organization
Contact information
Practice address
3360 STEVE REYNOLDS BLVD APT 2401, DULUTH, GA 30096-4588
(612) 517-6136
Mailing address
3360 STEVE REYNOLDS BLVD APT 2401, DULUTH, GA 30096-4588
(612) 517-6136
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/01/2025
Last updated
07/01/2025
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