Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUANE D BRICKHOUSE (REGIONAL VP OF FINANCE)
(410) 910-1500
Entity
Organization
Contact information
Practice address
16 COLLINS DR, SUITE B, CARTERSVILLE, GA 30120-2486
(770) 276-3167
Mailing address
7227 LEE DEFOREST DR, COLUMBIA, MD 21046-3236
(410) 910-1500
(410) 910-1600
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
008-R-0631
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000699542AG
—
GA
05
—
000699542AK
—
GA
Enumeration date
06/01/2009
Last updated
07/07/2014
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