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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 (REGIONAL VP OF FINANCE)
(410) 910-1500
Entity
Organization
Contact information
Practice address
2522 OAK MANOR WAY, TYLER, TX 75703-8398
(903) 581-8881
(877) 799-3230
Mailing address
7227 LEE DEFOREST DRIVE, COLUMBIA, MD 21046
(410) 910-1500
(410) 910-1600
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
10128
TX
251J00000X
Nursing Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178119701
—
TX
Enumeration date
10/06/2006
Last updated
09/25/2024
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