Organization · Type 2 NPI

The Tavares Pediatric Center Inc

Intellectual Disabilities Intermediate Care Facility · Providence, RI

NPI number 1366442899 Active

Practice location

101 Plain St
Providence, RI 02903-4824

Fax (401) 272-4752

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility 314000000XRI 642 (RI)
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XRI 642 (RI)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

7 other providers at this address

Other intellectual disabilities intermediate care facility providers in Providence

See all in Providence →

About NPI 1366442899

The Tavares Pediatric Center Inc's National Provider Identifier is 1366442899, issued on Jul 27, 2005. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Providence, RI. The record was last updated on Sep 11, 2025.