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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
KATHY JACKSON (REGIONAL VP OF FINANCE)
(410) 910-1500
Entity
Organization
Contact information
Practice address
303 S FLORIDA AVE, LAKELAND, FL 33801-4623
(863) 683-2699
Mailing address
7227 LEE DEFOREST DR, COLUMBIA, MD 21046-3236
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
21668096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001131700
—
FL
05
—
001131701
—
FL
05
—
650848100
—
FL
05
—
682909100
—
FL
05
—
684809500
—
FL
Enumeration date
08/23/2006
Last updated
10/07/2011
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