Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN P. WALSH (REGIONAL CONTROLLER)
(410) 910-1500
Entity
Organization
Contact information
Practice address
1052 PERUQUE CROSSING CT, SUITE B, O FALLON, MO 63366-2362
(636) 281-0051
(636) 281-0078
Mailing address
7227 LEE DEFOREST DR, COLUMBIA, MD 21046-3236
(410) 910-1500
(410) 910-1600
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
946364304
—
MO
Enumeration date
02/18/2008
Last updated
05/02/2008
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