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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
DUANE D BRICKHOUSE (REGIONAL VP OF FINANCE)
(410) 910-1500
Entity
Organization
Contact information
Practice address
1900 WEST NEW HAVEN AVE, SUITE 105, MELBOURNE, FL 32904
(321) 951-0011
Mailing address
7227 LEE DEFOREST DR, COLUMBIA, MD 21046-3236
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299991574
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001136400
—
FL
05
—
650942800
—
FL
05
—
650942879
—
FL
05
—
684282800
—
FL
05
—
684765000
—
FL
05
—
686453896
—
FL
Enumeration date
08/23/2006
Last updated
06/08/2016
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