Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KOWALCZYK (CONTROLLER)
(410) 910-1500
Entity
Organization
Contact information
Practice address
6425 POWERS FERRY RD, SUITE 200, ATLANTA, GA 30339
(470) 275-8336
Mailing address
7227 LEE DEFOREST RD, COLUMBIA, MD 21046-3236
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
044-R-00105
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000699542F
—
GA
05
—
000699542K
—
GA
Enumeration date
07/08/2006
Last updated
07/09/2021
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