NPI 1598368235

Tavares Pediatric Center

Organisation Intellectual Disabilities Intermediate Care Facility Providence, RI

Practice location

Address: 101 Plain St, Providence, RI 02903-4828
Phone: (401) 272-7127
Fax: (401) 272-4752

Authorised official

Name: Vivian M Tavares
Title: Fin Adm
Phone: (401) 272-7127

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in Rhode Island →

Registry record

NPI: 1598368235
Entity type: Organization
NPI issued: 17 Nov 2020
Record last updated: 17 Nov 2020

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.