# ARK OF REHABILITATION INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ark of Rehabilitation Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922882000
- **Authorized official:** SAMUEL ADEYEYE (ADMINISTRATOR)
- **Authorized official phone:** (240) 505-4750

## Contact information

- **Practice address:** 8629 LIBERTY RD STE A, RANDALLSTOWN, MD 21133-4713
- **Practice address phone:** (443) 405-8005
- **Practice address fax:** (443) 815-4746
- **Mailing address:** 8629 LIBERTY RD STE A, RANDALLSTOWN, MD 21133-4713
- **Mailing address phone:** (443) 405-8005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/21/2023
- **Last updated:** 12/06/2024