Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID S KOWALCZYK (REGIONAL CONTROLLER)
(410) 910-1500
Entity
Organization
Contact information
Practice address
700 CASS ST, SUITE 122 & 124, MONTEREY, CA 93940-2916
(831) 641-9565
(831) 641-9573
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
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA07824G
—
CA
Enumeration date
05/25/2006
Last updated
08/22/2020
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