Healthcare Provider Details

I. General information

NPI: 1922148782
Provider Name (Legal Business Name): ADELINE LAPLANTE MEMORIAL CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 WILLARD AVE
WAKEFIELD RI
02879-3165
US

IV. Provider business mailing address

PO BOX 56
PEACE DALE RI
02883-0056
US

V. Phone/Fax

Practice location:
  • Phone: 401-789-3081
  • Fax: 401-782-8481
Mailing address:
  • Phone: 401-789-3081
  • Fax: 401-782-8481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number35
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateRI

VIII. Authorized Official

Name: EDWARD F MCDERMOTT
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 401-789-3081