Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KOWALCZYK (CONTROLLER)
(410) 910-1500
Entity
Organization
Contact information
Practice address
19 KILTON RD BLDG 21, BEDFORD, NH 03110-6546
(603) 644-5003
Mailing address
7227 LEE DEFOREST DR, COLUMBIA, MD 21046-3236
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
03687
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30592085
—
NH
05
—
30602079
—
NH
Enumeration date
08/31/2006
Last updated
12/12/2022
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