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Organization

MAXIM HEALTHCARE SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. RACHEL FULLER (REGIONAL VP OF FINANCE)
(410) 910-1500
Entity
Organization

Contact information

Practice address
9420 BUNSEN PKWY, SUITE 110, LOUISVILLE, KY 40220-3700
(502) 426-4454
(877) 799-3224
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
720206
KY
251J00000X
Nursing Care Agency
Primary
252Y00000X
Early Intervention Provider Agency
253Z00000X
In Home Supportive Care Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100069980
KY
05
7100190910
KY
Enumeration date
09/06/2006
Last updated
10/06/2014
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