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NPI Code Detail

MEDICARE: MAXIM HEALTHCARE SERVICES, INC.

MEDICARE: MAXIM HEALTHCARE SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251J00000XNursing Care Agency
2253Z00000XIn Home Supportive Care Agency
3251E00000XHome Health AgencyHC2970NC

Other Identifiers

General Provider Information

NPI Number : 1467484808
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAXIM HEALTHCARE SERVICES, INC.
Provider Business Mailing Address
First Line : 7227 LEE DEFOREST RD
Second Line :
City : COLUMBIA
State : MD
Zip : 21046-3236
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 330 JAKE ALEXANDER BLVD W STE 102
Second Line :
City : SALISBURY
State : NC
Zip : 28147-1385
Country : US
Telephone Number : 704-638-0025
Fax Number :
Authorized Official
Title or Position : VP OF FINANCE
Name : DUANE BRICKHOUSE
Credential :
Telephone Number : 410-910-1500
Provider Enumeration Date : 07/07/2006
Last Update Date : 03/17/2018

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Directions to “MAXIM HEALTHCARE SERVICES, INC. ” Practice Location

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