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
317 W 3RD ST, SUITE 100, LA JUNTA, CO 81050-1401
(719) 383-0990
Mailing address
7227 LEE DEFOREST DR, COLUMBIA, MD 21046-3236
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
73679267
—
CO
Enumeration date
04/25/2016
Last updated
08/25/2016
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