Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUANE BRICKHOUSE (REGIONAL VP OF FINANCE)
(410) 910-1500
Entity
Organization
Contact information
Practice address
1520 3RD AVE, SUITE 1, COLUMBUS, GA 31901-1809
(706) 225-5420
(877) 394-6761
Mailing address
7227 LEE DEFOREST DR, COLUMBIA, MD 21046-3236
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
106-R-0038
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000699542AF
—
GA
05
—
000699542M
—
GA
05
—
000699542N
—
GA
05
—
000699542T
—
GA
Enumeration date
07/08/2006
Last updated
11/16/2016
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