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(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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Intermediate Care Facility, Mentally Retarded |
315P00000X | |||
Skilled Nursing Facility |
314000000X | A1[8] | Skilled Nursing Facility |
| NPI Number | 1366442899 |
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| LBN Legal business name | THE TAVARES PEDIATRIC CENTER INC | ||||||||
| Authorized official | EUGENE TAVARES - (ADMINISTRATOR) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 07/27/2005 | ||||||||
| Last updated | 09/11/2025 - About 9 months ago | ||||||||
| Identifiers |
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THE TAVARES PEDIATRIC CENTER INC