# MAXIM HEALTHCARE SERVICES, INC.

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

## Provider details

- **NPI number:** 1679711287
- **Authorized official:** DAVID KOWALCZYK (REGIONAL CONTROLLER)
- **Authorized official phone:** (410) 910-1500

## Contact information

- **Practice address:** 12503 SE MILL PLAIN BLVD, SUITE 205, VANCOUVER, WA 98684-4009
- **Practice address phone:** (360) 896-7289
- **Practice address fax:** (360) 896-8908
- **Mailing address:** 7227 LEE DEFOREST DR, COLUMBIA, MD 21046-3236
- **Mailing address phone:** (410) 910-1500
- **Mailing address fax:** (410) 910-1600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 60078843 | WA | Yes |

## Other

- **Enumeration date:** 02/04/2009
- **Last updated:** 08/07/2009