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Organization
ARK OF REHABILITATION INC
Active
Organization
ARK OF REHABILITATION INC
Active
Other names
Ark of Rehabilitation Inc
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL ADEYEYE (ADMINISTRATOR)
(240) 505-4750
Entity
Organization
Contact information
Practice address
8629 LIBERTY RD STE A, RANDALLSTOWN, MD 21133-4713
(443) 405-8005
(443) 815-4746
Mailing address
8629 LIBERTY RD STE A, RANDALLSTOWN, MD 21133-4713
(443) 405-8005
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
261QP2000X
Physical Therapy Clinic/Center
—
NULL
Other
Enumeration date
08/21/2023
Last updated
12/06/2024
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