Organization
MAXIM HEALTHCARE SERVICES, INC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KOWALCZYK (CONTROLLER)
(410) 910-1500
Entity
Organization
Contact information
Practice address
16201 E INDIANA AVE STE 3400, SPOKANE VALLEY, WA 99216-2830
(509) 324-6421
Mailing address
7227 LEE DEFOREST RD, COLUMBIA, MD 21046-3236
(410) 910-1500
(410) 910-1600
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
IS-374
WA
251J00000X
Nursing Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2199737
—
WA
05
—
807748800
—
ID
05
—
807748801
—
ID
05
—
807748802
—
ID
Enumeration date
08/19/2006
Last updated
09/18/2024
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