Ark Of Rehabilitation INC
Clinic/Center, Multi-Specialty in Randallstown, MD. Organization (NPI-2).
NPI number1922882000
StatusActive
Last updated in NPPESDec 6, 2024
Details
- NPI
- 1922882000
- Entity type
- Organization (NPI-2)
- Legal business name
- Ark Of Rehabilitation INC
- Organization subpart
- No
- Enumeration date
- Aug 21, 2023
- Certification date
- Dec 6, 2024
- Last updated
- Dec 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
| 251B00000X | Case Management | – | – | |
| 251S00000X | Community/Behavioral Health | – | – | |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – | |
| 261QP2000X | Clinic/Center, Physical Therapy | – | – |
Other names
- Ark Of Rehabilitation INC (Doing Business As)
Practice location
8629 Liberty Rd Ste ARandallstown, MD 21133-4713
Phone 443-405-8005 · Fax 443-815-4746
Mailing address
8629 Liberty Rd Ste ARandallstown, MD 21133-4713
Phone 443-405-8005
Authorized official
Samuel Adeyeye
Administrator
2405054750
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