Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KOWALCZYK (REGIONAL VP OF FINANCE)
(410) 910-1500
Entity
Organization
Contact information
Practice address
2743 PERIMETER PKWY STE 110, AUGUSTA, GA 30909-6498
(706) 619-2058
Mailing address
7227 LEE DEFOREST DR, COLUMBIA, MD 21046-3236
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
121-R-0020
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000669424B
—
GA
05
—
000699542AC
—
GA
05
—
000699542E
—
GA
05
—
000699542R
—
GA
05
—
EN1090
—
SC
05
—
EXO653
—
SC
Enumeration date
07/08/2006
Last updated
11/29/2019
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