Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN P WALSH (REGIONAL CONTROLLER)
(410) 910-1500
Entity
Organization
Contact information
Practice address
4949 PLEASANT ST, SUITE 102, WEST DES MOINES, IA 50266-1741
(515) 223-8455
(515) 457-8644
Mailing address
7227 LEE DEFOREST DRIVE, COLUMBIA, MD 21046-3405
(410) 910-1500
(410) 910-1600
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0672967
—
IA
Enumeration date
05/19/2006
Last updated
08/22/2020
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