# MAXIM HEALTHCARE SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356421077
- **Authorized official:** DAVID KOWALCZYK (VP OF FINANCE)
- **Authorized official phone:** (410) 910-1500

## Contact information

- **Practice address:** 1523 CONCORD PIKE STE 100, WILMINGTON, DE 19803-3653
- **Practice address phone:** (302) 478-3434
- **Mailing address:** 7227 LEE DEFOREST DR, COLUMBIA, MD 21046-3236

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TA0700X | Adult Development & Aging Psychologist | — | NULL | — |
| 103TA0700X | Adult Development & Aging Psychologist | — | — | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | — |
| 103TH0100X | Health Service Psychologist | — | NULL | — |
| 103TH0100X | Health Service Psychologist | — | — | — |
| 163WH0200X | Home Health Registered Nurse | — | NULL | — |
| 163WH0200X | Home Health Registered Nurse | — | — | — |
| 251E00000X | Home Health Agency | HHAS027 | DE | Yes |

## Other

- **Enumeration date:** 10/17/2006
- **Last updated:** 09/14/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001162555 | — | DE |
| 05 | — | 1000015855 | — | DE |
| 05 | — | 1000022933 | — | DE |
| 05 | — | 1356421077 | — | DE |
