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
1120 BENFIELD BLVD STE A-B, MILLERSVILLE, MD 21108-2528
(443) 274-3071
Mailing address
7227 LEE DEFOREST DR, COLUMBIA, MD 21046-3236
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
R2391
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0166-DL5812
—
MD
05
—
413683700
—
MD
05
—
5550432-04
—
MD
Enumeration date
08/31/2006
Last updated
01/10/2024
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