Healthcare Provider Details

I. General information

NPI: 1205784022
Provider Name (Legal Business Name): EXCEED NETWORK, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2026
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 N SYRACUSE DR
CHERRY HILL NJ
08034-1228
US

IV. Provider business mailing address

11 N SYRACUSE DR
CHERRY HILL NJ
08034-1228
US

V. Phone/Fax

Practice location:
  • Phone: 609-502-8588
  • Fax: 609-502-8588
Mailing address:
  • Phone: 609-502-8588
  • Fax: 609-502-8588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. DECARLA ARMEL SCOTT
Title or Position: EXECUTIVE DIRECTOR
Credential: SCOTT
Phone: 609-502-8588