Tavares Pediatric Center
NPI #1598368235 in Providence, Rhode Island
Provider Information
- NPI Number
- 1598368235
- Entity Type
- Organization
- Organization Name
- Tavares Pediatric Center
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Nov 17, 2020
- Last Updated
- Nov 17, 2020
Practice Location
- Address
- 101 PLAIN ST
- City
- Providence
- State
- Rhode Island
- ZIP Code
- 02903-4828
- Phone
- (401) 272-7127
Authorized Official
- Name
- VIVIAN M TAVARES
- Title
- FIN ADM
- Phone
- (401) 272-7127
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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