Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID KOWALCZYK (REGIONAL CONTROLLER)
(410) 910-1500
Entity
Organization
Contact information
Practice address
1070 CONCORD AVE, SUITE 110, CONCORD, CA 94520-5699
(925) 356-0344
(925) 356-0350
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
550000653
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05-K097
—
CA
Enumeration date
05/22/2007
Last updated
08/07/2009
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