Organization
MAXIM HEALTHCARE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KOWALCZYK (REGIONAL VP OF FINANCE)
(410) 910-1500
Entity
Organization
Contact information
Practice address
777 LOWNDES HILL RD., SUITE 100, BUILDING 3, GREENVILLE, SC 29607
(864) 242-1994
Mailing address
7227 LEE DEFOREST DR, COLUMBIA, MD 21046-3236
(410) 910-1500
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
N/A
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EN1088
—
SC
05
—
EXO579
—
SC
Enumeration date
09/08/2006
Last updated
07/16/2018
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