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
1215 ROUTE 70 STE 2002, LAKEWOOD, NJ 08701-6958
Mailing address
7227 LEE DEFOREST DR, COLUMBIA, MD 21046-3236
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0450766
—
NJ
Enumeration date
11/09/2017
Last updated
11/07/2018
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