Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUANE BRICKHOUSE (CONTROLLER)
(410) 910-1500
Entity
Organization
Contact information
Practice address
1595 E GARRISON BLVD, SUITE C, GASTONIA, NC 28054-5138
(704) 866-7768
(704) 266-7707
Mailing address
7227 LEE DEFOREST RD, COLUMBIA, MD 21046-3236
(410) 910-1500
(410) 910-1600
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC1251
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408463
—
NC
05
—
6600959
—
NC
05
—
7100487
—
NC
Enumeration date
07/07/2006
Last updated
10/09/2008
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