Organization
NETTIE MAE BERRY FOUNDATION LLC
Active
Other names
N.M.B. Foundation LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TANDRA LAMIKIA SIMMONS (OWNER)
(352) 258-3450
Entity
Organization
Contact information
Practice address
113 NE 39TH PL, GAINESVILLE, FL 32609-1717
(352) 376-4653
(352) 376-5474
Mailing address
113 NE 39TH PL, GAINESVILLE, FL 32609-1717
(352) 376-4653
(352) 376-5474
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
689678296
FL
Other
Enumeration date
06/01/2008
Last updated
06/01/2008
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