Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KOWALCZYK (EXECUTIVE DIRECTOR OF FINANCE)
(410) 910-1730
Entity
Organization
Contact information
Practice address
555 WALNUT ST STE 150, CHATTANOOGA, TN 37402-1314
(423) 553-5530
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
0000000613
TN
251E00000X
Home Health Agency
L4380861511
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5441954
—
TN
Enumeration date
10/04/2006
Last updated
04/25/2024
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