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Tavares Pediatric Center
Intellectual Disabilities Intermediate Care Facility in Providence, Rhode Island
NPI 1598368235

Tavares Pediatric Center is a Intellectual Disabilities Intermediate Care Facility based in Providence, RI. Tavares Pediatric Center practices in Providence, RI. The NPI Number for Tavares Pediatric Center is 1598368235 and holds a License No. (Rhode Island).

The current practice location address for Tavares Pediatric Center is 101 Plain St, Providence, RI and can be reached out via phone at 401-272-7127 and via fax at 401-272-4752.

Location: 101 Plain St, Providence, RI, 02903-4828
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1598368235
Provider Name
Tavares Pediatric Center
Credential
Provider Entity Type
Organization
Address
101 Plain St, Providence, RI, 02903-4828
Phone Number
401-272-7127
Fax Number
401-272-4752
Provider Enumeration Date
11/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Plain St
City
Providence
State
Rhode Island
Zip
02903-4828
Phone Number
401-272-7127
Fax Number
401-272-4752
person
Provider Business Mailing Address Details
Address
101 Plain St
City
Providence
State
Rhode Island
Zip
02903-4828
Phone Number
401-272-7127
Fax Number
401-272-4752
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
Definition
(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.
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