The Tavares Pediatric Center INC
NPI #1366442899 in Providence, Rhode Island
Provider Information
- NPI Number
- 1366442899
- Entity Type
- Organization
- Organization Name
- The Tavares Pediatric Center INC
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Jul 27, 2005
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 101 PLAIN ST
- City
- Providence
- State
- Rhode Island
- ZIP Code
- 02903-4824
- Phone
- (401) 272-7127
Authorized Official
- Name
- MR. EUGENE F TAVARES, LICENSED
- Title
- ADMINISTRATOR
- Phone
- (401) 272-7127
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
| Intermediate Care Facility, Intellectual Disabilities |
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