Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUANE BRICKHOUSE SMITH (CONTROLLER)
(410) 910-1500
Entity
Organization
Contact information
Practice address
1399 ASHLEYBROOK LN, SUITE 250, WINSTON SALEM, NC 27103-2961
(336) 760-8884
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
HC1582
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408463
—
NC
05
—
6600538
—
NC
05
—
7100296
—
NC
Enumeration date
06/29/2006
Last updated
06/04/2010
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