Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KOWALCZYK (LICENSURE COORDINATOR)
(410) 910-2128
Entity
Organization
Contact information
Practice address
1230 RUDDELL RD SE, SUITE 101, LACEY, WA 98503-5748
(360) 456-1680
(360) 456-1645
Mailing address
7227 LEE DEFOREST, COLUMBIA, MD 21046
(410) 910-1500
(410) 910-1600
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
IS-104
WA
Other
Enumeration date
09/07/2006
Last updated
08/22/2020
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