Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KOWALCZYK (REGIONAL CONTROLLER)
(410) 910-1500
Entity
Organization
Contact information
Practice address
2155 LOUISIANA BLVD NE, SUITE 10600, ALBUQUERQUE, NM 87110-5409
(505) 872-0361
(505) 872-9236
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
—
—
Other
Enumeration date
05/07/2008
Last updated
05/09/2008
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