Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUANE BRICKHOUSE (CONTROLLER)
(410) 910-1500
Entity
Organization
Contact information
Practice address
825 GUM BRANCH RD, SUITE 109, JACKSONVILLE, NC 28540-6298
(910) 355-2757
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
HC2381
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408463
—
NC
05
—
6600979
—
NC
05
—
7100495
—
NC
Enumeration date
06/29/2006
Last updated
10/01/2008
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