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Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID S KOWALCZYK (REGIONAL CONTROLLER)
(410) 910-1730
Entity
Organization
Contact information
Practice address
9815 S MONROE ST STE 400, SANDY, UT 84070-4297
(801) 685-7070
(801) 685-8988
Mailing address
7227 LEE DEFOREST DRIVE, COLUMBIA, MD 21046-3405
(410) 910-1500
(410) 910-1600
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2004-HHA-48780
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115620901
—
WY
Enumeration date
04/11/2006
Last updated
07/19/2024
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