Healthcare Provider Details

I. General information

NPI: 1851221576
Provider Name (Legal Business Name): MERIDIAN HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1435 N OAKLAND BLVD
WATERFORD MI
48327-1549
US

IV. Provider business mailing address

367 SANDHILL CT
WHITE LAKE MI
48386-1365
US

V. Phone/Fax

Practice location:
  • Phone: 248-599-8999
  • Fax:
Mailing address:
  • Phone: 810-279-8348
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320700000X
TaxonomyPhysical Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. OLINDA PATRICIA PERRY
Title or Position: COUNSELOR
Credential:
Phone: 810-279-8348