Tavares Pediatric Center
Tavares Pediatric Center is an Intellectual Disabilities Intermediate Care Facility in Providence, Rhode Island. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
101 Plain StProvidence, RI 02903-4828
Phone: (401) 272-7127
Fax: (401) 272-4752
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X |
|---|
Record details
| NPI number | 1598368235 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Vivian Tavares — Fin Adm · (401) 272-7127 |
| Other names | Tavares Pediatric Center |
| NPI enumerated | November 17, 2020 |
| Last updated in NPPES | November 17, 2020 |
| Certification date | November 17, 2020 |
| Mailing address | 101 Plain St, Providence, RI 02903-4828 |
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