Healthcare Provider Details

I. General information

NPI: 1659248441
Provider Name (Legal Business Name): NEW ARK LOGISTICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2025
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3477 MACKINAC ISLAND LN
RALEIGH NC
27610-6915
US

IV. Provider business mailing address

3477 MACKINAC ISLAND LN
RALEIGH NC
27610-6915
US

V. Phone/Fax

Practice location:
  • Phone: 919-758-3345
  • Fax:
Mailing address:
  • Phone: 919-758-3345
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WV0202X
TaxonomyVehicle Modifications Contractor
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA ANN BALLENTINE
Title or Position: NEMT
Credential:
Phone: 919-758-3345