Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID S. KOWALCZYK (REGIONAL CONTROLLER)
(410) 910-1730
Entity
Organization
Contact information
Practice address
9655 SE 36TH ST, SUITE 210, MERCER ISLAND, WA 98040-3798
(206) 985-4625
(206) 527-5636
Mailing address
7227 LEE DEFOREST DRIVE, COLUMBIA, MD 21046-3405
(410) 910-1500
(410) 910-1600
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9040619
—
WA
Enumeration date
07/07/2006
Last updated
08/22/2013
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