NPI 1629264601
Maxim Habilitation Services, LLC
Practice location
- Address
- 943 W Andrews Ave STE D, Henderson, NC 27536-2587
- Phone
- (252) 492-6028
- Mailing address
- 7227 Lee Deforest Dr, Columbia, MD 21046-3236
Authorised official
- Name
- Jeremy Smith
- Title
- Controller
- Phone
- (410) 910-1500
Registered specialties
Developmentally Disabled Services Day Training Agency
Primary
Registry record
- NPI
- 1629264601
- Entity type
- Organization
- NPI issued
- 24 Sep 2007
- Record last updated
- 24 Sep 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.