Healthcare Provider Details

I. General information

NPI: 1336052091
Provider Name (Legal Business Name): MERAKI ADULT ACTIVITY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22575 W 8 MILE RD
DETROIT MI
48219-4418
US

IV. Provider business mailing address

22575 W 8 MILE RD
DETROIT MI
48219-4418
US

V. Phone/Fax

Practice location:
  • Phone: 248-882-6002
  • Fax:
Mailing address:
  • Phone: 248-882-6002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LISA CALDWELL
Title or Position: ADMINISTRATOR
Credential: LPN
Phone: 248-882-6002