Healthcare Provider Details

I. General information

NPI: 1184718363
Provider Name (Legal Business Name): ARKAY INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 03/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16125 DIX-TOLEDO ROAD
SOUTHGATE MI
48195
US

IV. Provider business mailing address

16125 DIX-TOLEDO ROAD
SOUTHGATE MI
48195
US

V. Phone/Fax

Practice location:
  • Phone: 734-284-2929
  • Fax: 734-381-2921
Mailing address:
  • Phone: 734-284-2929
  • Fax: 734-281-3921

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number311Z00000X
License Number StateMI

VIII. Authorized Official

Name: MR. KEVIN P. MCGUCKIN
Title or Position: EXECUCTIVE DIRECTOR
Credential:
Phone: 734-284-2929