Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KOWALCZYK (EXECUTIVE VP OF FINANCE)
(410) 910-1500
Entity
Organization
Contact information
Practice address
900 VIRGINIA ST E STE 400, CHARLESTON, WV 25301-2835
(681) 313-4759
Mailing address
900 VIRGINIA ST E STE 400, CHARLESTON, WV 25301-2835
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
—
1007298320021
—
PA
05
—
3810003343
—
WV
Enumeration date
09/08/2006
Last updated
07/02/2025
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