Provider Demographics
NPI:1144315631
Name:J HENRY ECI,INC.
Entity type:Organization
Organization Name:J HENRY ECI,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:E
Authorized Official - Last Name:HENRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-279-3252
Mailing Address - Street 1:18 LAUREL PARK DR
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-9446
Mailing Address - Country:US
Mailing Address - Phone:828-654-9855
Mailing Address - Fax:828-274-1914
Practice Address - Street 1:18 LAUREL PARK DR
Practice Address - Street 2:
Practice Address - City:ARDEN
Practice Address - State:NC
Practice Address - Zip Code:28704-9446
Practice Address - Country:US
Practice Address - Phone:828-654-9855
Practice Address - Fax:828-274-1914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8301358Medicaid
NC8301358KMedicaid