Maxim Healthcare Services | |
4301 S Pine St Ste 505 Tacoma WA 98409-7208 | |
(253) 292-4354 | |
(253) 292-4353 |
Full Name | Maxim Healthcare Services |
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Speciality | Community/behavioral Health |
Location | 4301 S Pine St Ste 505, Tacoma, Washington |
Authorized Official Name and Position | William Kim Waldo (GENERAL MANAGER) |
Authorized Official Contact | 2532924354 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Maxim Healthcare Services 4301 S Pine St Ste 505 Tacoma WA 98409-7208 Ph: () - | Maxim Healthcare Services 4301 S Pine St Ste 505 Tacoma WA 98409-7208 Ph: (253) 292-4354 |
NPI Number | 1720388606 |
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Provider Enumeration Date | 10/26/2010 |
Last Update Date | 10/26/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720388606 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | IHS.FS.00000375 (Washington) | Primary |
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