# MAXIM HEALTHCARE SERVICES, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1720181217
- **Authorized official:** DAVID KOWALCZYK (LICENSURE COORDINATOR)
- **Authorized official phone:** (410) 910-2128

## Contact information

- **Practice address:** 1230 RUDDELL RD SE, SUITE 101, LACEY, WA 98503-5748
- **Practice address phone:** (360) 456-1680
- **Practice address fax:** (360) 456-1645
- **Mailing address:** 7227 LEE DEFOREST, COLUMBIA, MD 21046
- **Mailing address phone:** (410) 910-1500
- **Mailing address fax:** (410) 910-1600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | IS-104 | WA | Yes |

## Other

- **Enumeration date:** 09/07/2006
- **Last updated:** 08/22/2020