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
317 E CARSON ST STE 426, PITTSBURGH, PA 15219-1202
(412) 687-2938
Mailing address
7227 LEE DEFOREST DR, COLUMBIA, MD 21046-3236
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
77830501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10072983200024
—
PA
Enumeration date
10/10/2006
Last updated
04/26/2021
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