Provider Demographics
NPI:1992980874
Name:DEPENDABLE NIGHTINGALES AGENCY, INC.
Entity type:Organization
Organization Name:DEPENDABLE NIGHTINGALES AGENCY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/POSITION
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:FENENBOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-733-6497
Mailing Address - Street 1:499 STATE ROAD 434
Mailing Address - Street 2:SUITE 2125
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-2170
Mailing Address - Country:US
Mailing Address - Phone:407-862-0439
Mailing Address - Fax:407-386-3464
Practice Address - Street 1:499 STATE ROAD 434
Practice Address - Street 2:SUITE 2125
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-2170
Practice Address - Country:US
Practice Address - Phone:407-862-0439
Practice Address - Fax:407-386-3464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-09
Last Update Date:2016-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL22007096251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health