Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUANE D BRICKHOUSE (REGIONAL VP OF FINANCE)
(410) 910-1500
Entity
Organization
Contact information
Practice address
715 QUEEN CITY PKWY, SUITE 103, GAINESVILLE, GA 30501-4348
(770) 535-1882
(770) 535-1883
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
069-R-0417
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000699542AJ
—
GA
05
—
000699542W
—
GA
Enumeration date
09/10/2007
Last updated
07/07/2014
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