Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KOWALCZYK (REGIONAL CONTOLLER)
(410) 910-1500
Entity
Organization
Contact information
Practice address
1515 W 190TH ST, SUITE 156, GARDENA, CA 90248-4319
(310) 719-8919
(310) 719-8924
Mailing address
7227 LEE DEFOREST DRIVE, COLUMBIA, MD 21046
(410) 910-1500
(410) 910-1600
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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