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Organization

MAXIM HEALTHCARE SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBYN FORMICA (REGIONAL VP OF FINANCE)
(410) 910-1500
Entity
Organization

Contact information

Practice address
1324 BELMONT AVE, SUITE 204, SALISBURY, MD 21804-4584
(410) 677-4900
(855) 857-1696
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
R2393
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0166-DL5811
MD
05
095102100
MD
05
4136888800
MD
05
5550432-03
MD
Enumeration date
08/31/2006
Last updated
06/19/2014
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