Maxim Healthcare Services, INC
Community/Behavioral Health in Roanoke, VA. Organization (NPI-2).
NPI number1336723337
StatusActive
Last updated in NPPESMay 6, 2021
Details
- NPI
- 1336723337
- Entity type
- Organization (NPI-2)
- Legal business name
- Maxim Healthcare Services, INC
- Organization subpart
- No
- Enumeration date
- May 6, 2021
- Certification date
- May 6, 2021
- Last updated
- May 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
1332 Plantation Rd NeRoanoke, VA 24012-5713
Phone 540-725-1572
Mailing address
7227 Lee Deforest DrColumbia, MD 21046-3236
Phone 410-910-1500
Authorized official
David Kowalczyk
Controller
4109101500
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