# MAXIM HEALTHCARE

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

## Provider details

- **NPI number:** 1518360023
- **Authorized official:** TERRYL RICHARDSON (HOME HEALTH AIDE)
- **Authorized official phone:** (202) 421-6272

## Contact information

- **Practice address:** 4012 FOX GATE LN, UPPER MARLBORO, MD 20772-9357
- **Practice address phone:** (202) 421-6272
- **Mailing address:** 4012 FOX GATE LN, UPPER MARLBORO, MD 20772-9357

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HHA4602 | DC | Yes |

## Other

- **Enumeration date:** 09/29/2014
- **Last updated:** 09/29/2014