Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID S. KOWALCZYK (VP OF FINANCE)
(410) 910-1730
Entity
Organization
Contact information
Practice address
23421 S POINTE DR STE 200, LAGUNA HILLS, CA 92653
(949) 770-4994
Mailing address
7227 LEE DEFOREST DRIVE, COLUMBIA, MD 21046-3405
(410) 910-1500
(410) 910-1600
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
60000547
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA70298F
—
CA
Enumeration date
07/08/2006
Last updated
08/15/2018
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