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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
DAVID KOWALCZYK (VP OF FINANCE)
(410) 910-1500
Entity
Organization
Contact information
Practice address
1530 CORNERSTONE BLVD STE 230, DAYTONA BEACH, FL 32117-7129
(386) 226-3494
Mailing address
7227 LEE DEFOREST DR, COLUMBIA, MD 21046-3236
(410) 910-1500
(410) 910-1600
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299991564
FL
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001130900
—
FL
05
—
650947900
—
FL
05
—
650947979
—
FL
05
—
650947996
—
FL
05
—
684915600
—
FL
Enumeration date
08/23/2006
Last updated
03/10/2025
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