Nettie Mae Berry Foundation Llc

LBN: Nettie Mae Berry Foundation Llc
Nettie Mae Berry Foundation Llc is an health care organization with primary practice located at 113 Ne 39Th Pl , Gainesville FL 32609-1717. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Nettie Mae Berry Foundation Llc can be contacted via phone (352) 258-3450, or through Simmons, Tandra Laimikia via phone (352) 258-3450.

Contact Information

Primary practice address
113 Ne 39Th Pl Gainesville FL 32609-1717
Phone: (352) 258-3450
Fax: (352) 376-5474
Website:
Map and Directions
Authorized official contact:
Name: Simmons, Tandra Laimikia
Phone: (352) 258-3450

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X 689678298 Florida

Profile Details

NPI number 1679734396
LBN Legal business name Nettie Mae Berry Foundation Llc
DBA Doing business as
Authorized official Simmons, Tandra Laimikia
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2008
Last updated Jun 25th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679734396 NPPES
Florida MEDICAID 689678298

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