| Skydescope, Llc | |
|
6802 Riverfront Dr Palmyra NJ 08065-2160 | |
| (609) 417-7834 | |
| (865) 786-4664 |
| Full Name | Skydescope, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6802 Riverfront Dr, Palmyra, New Jersey |
| Authorized Official Name and Position | Kahhar Wali (DIRECTOR) |
| Authorized Official Contact | 6094177834 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Skydescope, Llc 6802 Riverfront Dr Palmyra NJ 08065-2160 Ph: (609) 417-7834 | Skydescope, Llc 6802 Riverfront Dr Palmyra NJ 08065-2160 Ph: (609) 417-7834 |
| NPI Number | 1265559033 |
|---|---|
| Provider Enumeration Date | 03/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265559033 | NPI | - | NPPES |
| 0090166 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 44SC05263500 (New Jersey) | Primary |
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