THE TAVARES PEDIATRIC CENTER INC
Nursing at Plain St, Providence, RI

License number
Rhode Island RI 642
Category
Nursing
Type
Skilled Nursing Facility
License number
Rhode Island RI 642
Category
Nursing
Type
Intermediate Care Facility, Mentally Retarded
Owner
Name: MR. EUGENE F TAVARES LICENSED
Title: ADMINISTRATOR
Phone: (401) 272-7127
Address
Address
101 Plain St, Providence, RI 02903
National Provider ID: 1366442899
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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THE TAVARES PEDIATRIC CENTER, INC

101 Pln St, Providence, RI 02903

Industry:
THE OPERATION AND EXTENDED CARE AND SKILLED NURSING FACILITY FOR CHILDREN, Skilled Nursing Care Facility
Registration:
Dec 22, 1980
Phone:
(401) 272-7127 (Phone)
State ID:
000009070
Business type:
Domestic Profit Corporation
Managers:
Vivian M. Tavares (PRESIDENT, Treasurer, Secretary), 591 Warren Ave, Swansea, MA 02777 (Physical),Glenn Silvia President, Partner, inactive,Lilia Erikhman Manager, inactive
Agent:
John A. Glasson, Esq,1 Ship St, Providence, RI 02903 (Physical)

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