Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID KOWALCZYK (REGIONAL CONTROLLER)
(410) 910-1500
Entity
Organization
Contact information
Practice address
631 RIVER OAKS PKWY, SAN JOSE, CA 95134-1907
(408) 914-7478
(408) 244-2633
Mailing address
7227 LEE DEFOREST DR, COLUMBIA, MD 21046-3405
(410) 910-1500
(410) 910-1600
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
70000287
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA57119G/05-K053
—
CA
Enumeration date
06/01/2006
Last updated
06/13/2016
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