Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUANE BRICKHOUSE (REGIONAL CONTROLLER)
(410) 910-1500
Entity
Organization
Contact information
Practice address
943 W ANDREWS AVE, SUITE D, HENDERSON, NC 27536-2516
(252) 492-6028
Mailing address
7227 LEE DEFOREST DR, COLUMBIA, MD 21046-3236
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC0022
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408463
—
NC
05
—
6600953
—
NC
05
—
7100491
—
NC
Enumeration date
07/04/2006
Last updated
07/15/2010
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