Organization
MAXIM HEALTH SYSTEMS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE GIANNACCINI (CONTROLLER)
(410) 910-1500
Entity
Organization
Contact information
Practice address
7221 LEE DEFOREST RD, COLUMBIA, MD 21046-3236
(410) 910-1500
Mailing address
7221 LEE DEFOREST RD, COLUMBIA, MD 21046-3236
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC8570
HEALTH CARE CLINIC LICENSE
FL
Enumeration date
08/18/2006
Last updated
09/22/2009
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