Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KOWALCZYK (CONTROLLER)
(410) 910-1500
Entity
Organization
Contact information
Practice address
161 GAITHER DR STE 102, MOUNT LAUREL, NJ 08054-1740
(856) 755-1212
Mailing address
7227 LEE DEFOREST RD, COLUMBIA, MD 21046-3236
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
CAHC
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8079005
—
NJ
Enumeration date
09/06/2006
Last updated
02/23/2023
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