Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUANE D BRICKHOUSE (VP OF FINANCE)
(410) 910-1500
Entity
Organization
Contact information
Practice address
3000 EAST COLISEUM BLVD., SUITE 300, FT. WAYNE, IN 46805
(260) 432-1166
(260) 436-3914
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
003757-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164297
—
IN
05
—
200484160A
—
IN
05
—
2475521
—
OH
Enumeration date
08/27/2006
Last updated
11/14/2016
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