Healthcare Provider Details

I. General information

NPI: 1730982000
Provider Name (Legal Business Name): ARK LIFE SERVICES LIMITED LIABILITY COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2025
Last Update Date: 03/31/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 BALA PLZ STE 30055667
BALA CYNWYD PA
19004-1501
US

IV. Provider business mailing address

2 BALA PLZ STE 30055667
BALA CYNWYD PA
19004-1501
US

V. Phone/Fax

Practice location:
  • Phone: 267-551-5502
  • Fax:
Mailing address:
  • Phone: 267-551-5502
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: ROSEMARY OLUWO
Title or Position: CEO/MEMBER
Credential:
Phone: 267-551-5502