Provider Demographics
NPI:1043614779
Name:MERIDIAN HEALTH CARE SERVICES, INC.
Entity Type:Organization
Organization Name:MERIDIAN HEALTH CARE SERVICES, INC.
Other - Org Name:SAINT JUDE MANOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERLINDA
Authorized Official - Middle Name:ARCUINO
Authorized Official - Last Name:JAMILI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:559-999-2030
Mailing Address - Street 1:2236 N 1ST ST
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93703-2303
Mailing Address - Country:US
Mailing Address - Phone:559-485-3286
Mailing Address - Fax:559-452-1536
Practice Address - Street 1:2236 N 1ST ST
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93703-2303
Practice Address - Country:US
Practice Address - Phone:559-485-3286
Practice Address - Fax:559-452-1536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-09
Last Update Date:2014-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities