Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY JACKSON (CONTROLLER)
(410) 910-1500
Entity
Organization
Contact information
Practice address
1745 PHOENIX BLVD, SUITE 270, COLLEGE PARK, GA 30349-5591
(770) 909-3434
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
031-R-0037
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000699542AB
—
GA
05
—
000699542G
—
GA
05
—
000699542L
—
GA
05
—
000699542U
—
GA
Enumeration date
07/08/2006
Last updated
09/20/2011
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