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
2365 WELSH RD, PHILADELPHIA, PA 19114
(215) 613-9216
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
03700501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100729832-0045
—
PA
05
—
100729832-0054
—
PA
05
—
100729832-0073
—
PA
Enumeration date
12/18/2008
Last updated
10/14/2021
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