Provider Demographics
NPI:1720107162
Name:JENNYCCARRINGTON,INC
Entity Type:Organization
Organization Name:JENNYCCARRINGTON,INC
Other - Org Name:ABC HUMAN SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:H
Authorized Official - Last Name:DEVALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-869-6480
Mailing Address - Street 1:3807 S NEW HOPE RD
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28056-8439
Mailing Address - Country:US
Mailing Address - Phone:704-869-6480
Mailing Address - Fax:
Practice Address - Street 1:3807 S NEW HOPE RD
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28056-8439
Practice Address - Country:US
Practice Address - Phone:704-869-6480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services