Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUANE D BRICKHOUSE (REGIONAL VP OF FINANCE)
(410) 910-1500
Entity
Organization
Contact information
Practice address
6001 CHATHAM CENTER DR, SUITE 300, SAVANNAH, GA 31405-1324
(912) 353-8882
(912) 353-9530
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
025-R-0035
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000699542AE
—
GA
05
—
000699542H
—
GA
05
—
000699542P
—
GA
05
—
000699542S
—
GA
Enumeration date
07/08/2006
Last updated
12/02/2014
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