Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DUANE BRICKHOUSE (REGIONAL VP OF FINANCE)
(410) 910-1500
Entity
Organization
Contact information
Practice address
1332 PLANTATION RD NE, ROANOKE, VA 24012-5713
(540) 725-1572
Mailing address
7227 LEE DEFOREST DR, COLUMBIA, MD 21046-3236
Taxonomy
Speciality
Code
Description
License number
State
163WC2100X
Continence Care Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010237815
—
VA
05
—
010316707
—
VA
05
—
010319293
—
VA
Enumeration date
10/04/2006
Last updated
09/10/2020
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