Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUANE D BRICKHOUSE (REGIONAL VP OF FINANCE)
(410) 910-1500
Entity
Organization
Contact information
Practice address
1255 LYNNFIELD RD, SUITE 295, MEMPHIS, TN 38119-5161
(901) 818-3833
Mailing address
7227 LEE DEFOREST DR, COLUMBIA, MD 21046-3236
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
618
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5441955
—
TN
Enumeration date
10/11/2006
Last updated
01/13/2015
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