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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
100 CONCOURSE BLVD STE 101, GLEN ALLEN, VA 23059-5642
(804) 355-9800
Mailing address
7227 LEE DEFOREST DR, COLUMBIA, MD 21046-3236

Taxonomy

Speciality
Code
Description
License number
State
163WC2100X
Continence Care Registered Nurse
EXEMPT
VA
251E00000X
Home Health Agency
Primary
EXEMPT
VA
3747P1801X
Personal Care Attendant
EXEMPT
VA
385H00000X
Respite Care
EXEMPT
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8701148
VA
05
8751064
VA
05
8771502
VA
Enumeration date
09/08/2006
Last updated
04/04/2023
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