Organization
SKYDESCOPE, LLC
Active
Organization
SKYDESCOPE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAHHAR WALI (DIRECTOR)
(609) 417-7834
Entity
Organization
Contact information
Practice address
6802 RIVERFRONT DR, PALMYRA, NJ 08065-2160
(609) 417-7834
(865) 786-4664
Mailing address
6802 RIVERFRONT DR, PALMYRA, NJ 08065-2160
(609) 417-7834
(865) 786-4664
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
44SC05263500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0090166
—
NJ
Enumeration date
03/24/2007
Last updated
08/22/2020
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