Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID S. KOWALCZYK (CONTROLLER)
(410) 910-2128
Entity
Organization
Contact information
Practice address
3255 WILSHIRE BLVD STE 700, LOS ANGELES, CA 90010-1411
(323) 296-3477
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
980001345
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA70299F
—
CA
Enumeration date
07/08/2006
Last updated
04/04/2023
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