Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KOWALCZYK (REGIONAL CONTROLLER)
(410) 910-1500
Entity
Organization
Contact information
Practice address
950 BROADWAY STE 301, TACOMA, WA 98402-4454
(253) 671-9909
(253) 671-9979
Mailing address
7227 LEE DEFOREST DRIVE, COLUMBIA, MD 21046
(410) 910-1500
(410) 910-1600
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
IS-375
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9040619
—
WA
Enumeration date
09/20/2006
Last updated
06/28/2023
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