Provider Demographics
NPI:1407276470
Name:DEPENDABLE INCONTINENCE & SUPPLY, INC
Entity Type:Organization
Organization Name:DEPENDABLE INCONTINENCE & SUPPLY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUSKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-347-2242
Mailing Address - Street 1:3325 GRIFFIN RD
Mailing Address - Street 2:245
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33312-5500
Mailing Address - Country:US
Mailing Address - Phone:954-347-2242
Mailing Address - Fax:
Practice Address - Street 1:3325 GRIFFIN RD
Practice Address - Street 2:245
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33312-5500
Practice Address - Country:US
Practice Address - Phone:954-347-2242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-17
Last Update Date:2014-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies