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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
MR. DAVID S KOWALCZYK (VP OF FINANCE)
(410) 910-1500
Entity
Organization
Contact information
Practice address
6051 N FRESNO ST STE 102, FRESNO, CA 93710
(559) 224-9078
Mailing address
7227 LEE DEFOREST DRIVE, COLUMBIA, MD 21046-3405
(410) 910-1500
(410) 910-1600
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
40000267
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA07873G/05-K069
—
CA
Enumeration date
05/25/2006
Last updated
08/16/2018
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