Provider Demographics
NPI:1124689823
Name:ARK MANAGEMENT CORPORATION
Entity type:Organization
Organization Name:ARK MANAGEMENT CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KERI
Authorized Official - Middle Name:MERIE
Authorized Official - Last Name:JULIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:971-224-9181
Mailing Address - Street 1:3201 NE WYNOOSKI RD STE A2
Mailing Address - Street 2:
Mailing Address - City:NEWBERG
Mailing Address - State:OR
Mailing Address - Zip Code:97132-7196
Mailing Address - Country:US
Mailing Address - Phone:971-224-9181
Mailing Address - Fax:503-214-8353
Practice Address - Street 1:3201 NE WYNOOSKI RD STE A2
Practice Address - Street 2:
Practice Address - City:NEWBERG
Practice Address - State:OR
Practice Address - Zip Code:97132-7196
Practice Address - Country:US
Practice Address - Phone:971-224-9181
Practice Address - Fax:503-214-8353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-24
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty