Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Parent organization
MAXIM HEALTHCARE SERVICES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAXIM HEALTHCARE SERVICES, INC.
Authorized official
MR. DAVID S. KOWALCZYK (REGIONAL CONTROLLER)
(410) 910-1730
Entity
Organization
Contact information
Practice address
3665 JFK PKWY, SUITE 330, FORT COLLINS, CO 80525-3152
(970) 493-9300
(855) 218-7223
Mailing address
7227 LEE DEFOREST DRIVE, COLUMBIA, MD 21046-3405
(410) 910-1500
(410) 910-1600
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
04I157
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28425774
—
CO
Enumeration date
07/02/2006
Last updated
12/10/2015
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