Healthcare Provider Details

I. General information

NPI: 1669079612
Provider Name (Legal Business Name): ACENDA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2020
Last Update Date: 10/03/2020
Certification Date: 10/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

362 SUNSET RD
SKILLMAN NJ
08558-1641
US

IV. Provider business mailing address

42 DELSEA DR S
GLASSBORO NJ
08028-2621
US

V. Phone/Fax

Practice location:
  • Phone: 844-422-3632
  • Fax: 856-881-5508
Mailing address:
  • Phone: 844-422-3632
  • Fax: 856-881-5508

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KATHY ANNE WINGATE
Title or Position: TREASURER & CFO
Credential: CPA
Phone: 844-422-3632