| Maxim Healthcare Services, Inc | |
|
1332 Plantation Rd Ne Roanoke VA 24012-5713 | |
| (540) 725-1572 | |
| Not Available |
| Full Name | Maxim Healthcare Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1332 Plantation Rd Ne, Roanoke, Virginia |
| Authorized Official Name and Position | David Kowalczyk (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 Dr Columbia MD 21046-3236 Ph: (410) 910-1500 | Maxim Healthcare Services, Inc 1332 Plantation Rd Ne Roanoke VA 24012-5713 Ph: (540) 725-1572 |
| NPI Number | 1336723337 |
|---|---|
| Provider Enumeration Date | 05/06/2021 |
| Last Update Date | 05/06/2021 |
| Certification Date | 05/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336723337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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