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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. STEPHEN P WALSH (REGIONAL CONTROLLER)
(410) 910-1581
Entity
Organization
Contact information
Practice address
4444 CORONA DR, SUITE 137, CORPUS CHRISTI, TX 78411-4324
(361) 814-1455
(361) 814-4006
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
8602
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001012069
—
TX
05
—
1626434-01
—
TX
Enumeration date
04/11/2006
Last updated
08/13/2008
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