Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KOWALCZYK (VP OF FINANCE)
(410) 910-1500
Entity
Organization
Contact information
Practice address
6612 E 75TH ST STE 400&425, INDIANAPOLIS, IN 46250-2875
(317) 849-8440
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
002773
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200335170A
—
IN
05
—
200335170C
—
IN
Enumeration date
08/27/2006
Last updated
04/05/2018
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