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
4712 STODDARD RD STE 280, MODESTO, CA 95356-9404
(209) 222-5490
(855) 456-7266
Mailing address
7227 LEE DEFOREST DRIVE, COLUMBIA, MD 21046
(410) 910-1500
(410) 910-1600
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
100000780
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA70313F
—
CA
Enumeration date
09/20/2006
Last updated
07/27/2023
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