Contract Details
Facility name
Maxim Healthcare Services
Provider ID
P000002246
NPI
1205913332
Tax ID
521590951
Effective Date
10/1/2003
Last Updated
9/11/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
3103 Airport Boulevard Suite 454
Mobile, AL 36606
United States
County
Mobile
Phone
2514700223 (Phone)
Billing Details
Address
3103 Airport Boulevard
Suite 454
Mobile, AL 36606
Billing Phone
2514700223
Specialty Type
Home Health
Map
Address