Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID S. KOWALCZYK (REGIONAL CONTROLLER)
(410) 910-1730
Entity
Organization
Contact information
Practice address
3691 PARKER BLVD STE 210, PUEBLO, CO 81008-2278
(719) 542-1777
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
66022525
—
CO
05
—
824232
—
CO
Enumeration date
07/04/2006
Last updated
10/01/2021
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