Healthcare Provider Details

I. General information

NPI: 1063805315
Provider Name (Legal Business Name): ACTS SIGNATURE COMMUNITY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2015
Last Update Date: 02/20/2024
Certification Date: 02/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4830 KENNETT PIKE
WILMINGTON DE
19807
US

IV. Provider business mailing address

420 DELAWARE DR
FORT WASHINGTON PA
19034-2711
US

V. Phone/Fax

Practice location:
  • Phone: 302-654-5101
  • Fax: 302-778-3574
Mailing address:
  • Phone: 267-787-4097
  • Fax: 215-699-2065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SUSAN AHERN
Title or Position: SVP, CFO
Credential:
Phone: 215-661-8330