| Maxim Healthcare Services, Inc. | |
|
6100 219th St Sw Ste 500 Mountlake Terrace WA 98043-2222 | |
| (425) 245-9940 | |
| Not Available |
| Full Name | Maxim Healthcare Services, Inc. |
|---|---|
| Speciality | Home Health |
| Location | 6100 219th St Sw Ste 500, Mountlake Terrace, Washington |
| Authorized Official Name and Position | David Kowalczyk (REGIONAL CONTROLLER) |
| Authorized Official Contact | 4109101500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maxim Healthcare Services, Inc. 7227 Lee Deforest Drive Columbia MD 21046 Ph: (410) 910-1500 | Maxim Healthcare Services, Inc. 6100 219th St Sw Ste 500 Mountlake Terrace WA 98043-2222 Ph: (425) 245-9940 |
| NPI Number | 1932206380 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 06/15/2023 |
| Certification Date | 06/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932206380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251E00000X | Home Health | IS-373 (Wisconsin) | Primary |
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