Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KOWALCZYK (REGIONAL CONTROLLER)
(410) 910-1500
Entity
Organization
Contact information
Practice address
1900 ALAMEDA DE LAS PULGAS, SAN MATEO, CA 94403-1222
(650) 286-1245
(866) 224-7327
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
20000480
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA70308F
—
CA
Enumeration date
09/20/2006
Last updated
07/02/2009
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