Organization
MAXX LIFE SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ORIN WALLER (OWNER)
(678) 671-6288
Entity
Organization
Contact information
Practice address
902 PAVILION CT, MCDONOUGH, GA 30253-6665
(678) 671-6288
Mailing address
902 PAVILION CT, MCDONOUGH, GA 30253-6665
(678) 671-6288
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/21/2025
Last updated
05/28/2025
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