Provider Demographics
NPI:1083090930
Name:ARK TRANSPORTATION
Entity Type:Organization
Organization Name:ARK TRANSPORTATION
Other - Org Name:LOVING FAMILY SERVICES LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:EDMONIA
Authorized Official - Last Name:HOLLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-742-6097
Mailing Address - Street 1:28319 SOUTHAMPTON PKWY
Mailing Address - Street 2:SUITE F
Mailing Address - City:COURTLAND
Mailing Address - State:VA
Mailing Address - Zip Code:23837-2193
Mailing Address - Country:US
Mailing Address - Phone:757-742-6097
Mailing Address - Fax:757-742-6098
Practice Address - Street 1:28319 SOUTHAMPTON PKWY
Practice Address - Street 2:SUITE F
Practice Address - City:COURTLAND
Practice Address - State:VA
Practice Address - Zip Code:23837-2193
Practice Address - Country:US
Practice Address - Phone:757-742-6097
Practice Address - Fax:757-742-6098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-03
Last Update Date:2015-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0163543686Medicaid