TAVARES PEDIATRIC CENTER is an intermediate care facility mentally retarded in Providence, RI. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. TAVARES PEDIATRIC CENTER NPI is 1598368235. The provider is registered as an organization entity type.
The provider Is Doing Business As Tavares Pediatric Center.
The provider's business location address is:
101 PLAIN ST
PROVIDENCE, RI
ZIP 02903-828
Phone: (401) 272-7127
Fax: (401) 272-4752
The provider's authorized official is Vivian M Tavares .
The authorized official title is Fin Adm and has the following contact phone number (401) 272-7127.
The CLIA number assigned to this NPI record is 41D0681977 - skilled nursing/nursing facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/17/2020 and was last updated on 11/17/2020.