Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID S KOWALCZYK (REGIONAL CONTROLLER)
(410) 910-1730
Entity
Organization
Contact information
Practice address
3050 N ROADRUNNER PKWY, LAS CRUCES, NM 88011-0820
(505) 522-8811
(505) 522-8822
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
IT3204
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24556831
—
NM
Enumeration date
04/10/2006
Last updated
08/22/2020
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