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
5030 CAMINO DE LA SIESTA, SUITE 405, SAN DIEGO, CA 92108-3116
(619) 299-9350
(619) 299-9501
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
80000384
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA57009H/05-K057
—
CA
Enumeration date
08/28/2006
Last updated
02/17/2014
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