Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KOWALCZYK (EXECUTIVE DIRECTOR OF FINANCE)
(410) 910-1730
Entity
Organization
Contact information
Practice address
4417 CORPORATION LN STE 300, VIRGINIA BEACH, VA 23462-3162
(757) 490-3009
Mailing address
7227 LEE DEFOREST DR., COLUMBIA, MD 21046
Taxonomy
Speciality
Code
Description
License number
State
163WC2100X
Continence Care Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8700460
—
VA
05
—
8741832
—
VA
05
—
8750718
—
VA
05
—
8771316
—
VA
Enumeration date
10/06/2006
Last updated
06/19/2024
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