Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KOWALCZYK (CONTROLLER)
(410) 910-1500
Entity
Organization
Contact information
Practice address
1 CEDAR ST STE 101, PROVIDENCE, RI 02903-1023
(401) 751-6333
Mailing address
7227 LEE DEFOREST DR, COLUMBIA, MD 21046-3236
(410) 910-1500
(410) 910-1600
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2271
RI
251J00000X
Nursing Care Agency
2271
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MH343271
—
RI
05
—
MH34515
—
RI
Enumeration date
08/31/2006
Last updated
06/07/2023
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