NETTIE MAE BERRY FOUNDATION LLC NPI 1295993665

NPI Information

  • NPI: 1295993665
  • Provider Name: NETTIE MAE BERRY FOUNDATION LLC
  • Classification: Day Training, Developmentally Disabled Services - 251C00000X
  • Entity Type: Organization
  • Other Name: N.M.B. FOUNDATION LLC
  • Address: 113 NE 39TH PL
    GAINESVILLE, FL
    ZIP 32609
  • Phone: (352) 376-4653

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NPI Details

NETTIE MAE BERRY FOUNDATION LLC is a day training developmentally disabled services in Gainesville, FL. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. NETTIE MAE BERRY FOUNDATION LLC NPI is 1295993665. The provider is registered as an organization entity type.
The provider Other Name Is N.m.b. Foundation Llc.

The provider's business location address is:

113 NE 39TH PL
GAINESVILLE, FL
ZIP 32609-717
Phone: (352) 376-4653
Fax: (352) 376-5474

The provider's authorized official is Tandra Lamikia Simmons .
The authorized official title is Owner and has the following contact phone number (352) 258-3450.

The enumeration date for this NPI number is 6/1/2008 and was last updated on 6/1/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251C00000XDay Training, Developmentally Disabled Services689678296FLORIDAYes

What is NPI?

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This page was last updated on: 11/21/2025

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