# MAXIM HEALTHCARE SERVICES, INC.

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

## Provider details

- **NPI number:** 1639542020
- **Authorized official:** MISS KIM HERRMANN (HIRING MANAGER)
- **Authorized official phone:** (410) 910-1693

## Contact information

- **Practice address:** 1313 N 13TH AVE, WALLA WALLA, WA 99362-8817
- **Practice address phone:** (509) 525-3610
- **Mailing address:** 7227 LEE DEFOREST DR, COLUMBIA, MD 21046-3236
- **Mailing address phone:** (410) 910-1500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE 60590290 | WA | Yes |

## Other

- **Enumeration date:** 11/05/2015
- **Last updated:** 11/05/2015