Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KOWALCZYK (REGIONAL VP OF FINANCE)
(410) 910-1500
Entity
Organization
Contact information
Practice address
3300 N CENTRAL AVE STE 2500, PHOENIX, AZ 85012-2505
(602) 216-0110
Mailing address
7227 LEE DEFOREST DRIVE, COLUMBIA, MD 21046
(410) 910-1500
(410) 910-1600
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA2812
AZ
251E00000X
Home Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
789894
—
AZ
01
—
AZ0702500
BLUECROSSBLUESHIELD OF AZ
AZ
Enumeration date
04/17/2006
Last updated
03/17/2018
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