| NPI | 1598368235 |
|---|---|
| Doing Business As | TAVARES PEDIATRIC CENTER |
| Entity Type | Organization |
| Authorized Contact | VIVIAN M TAVARES Fin Adm 401-272-7127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2020-11-17 |