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NETTIE MAE BERRY FOUNDATION LLC NPI 1295993665


NPI Information

NPI: 1295993665
Provider Name: NETTIE MAE BERRY FOUNDATION LLC

Other Name: N.M.B. FOUNDATION LLC

Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
113 NE 39TH PL
GAINESVILLE, FL
ZIP 32609
Phone: (352) 376-4653
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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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251C00000XDay Training, Developmentally Disabled Services689678296FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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