NPI 1295993665

Nettie Mae Berry Foundation LLC

Organisation Developmentally Disabled Services Day Training Agency Gainesville, FL

Practice location

Address: 113 NE 39th Pl, Gainesville, FL 32609-1717
Phone: (352) 376-4653
Fax: (352) 376-5474

Authorised official

Name: Tandra Lamikia Simmons
Title: Owner
Phone: (352) 258-3450

Registered specialties

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X Licence 689678296 (FL)

Other Day Training, Developmentally Disabled Services providers in Florida →

Registry record

NPI: 1295993665
Entity type: Organization
NPI issued: 1 Jun 2008
Record last updated: 1 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.