Provider Demographics
NPI:1275906117
Name:MAXPRO SERVICES INC
Entity Type:Organization
Organization Name:MAXPRO SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MANZI
Authorized Official - Middle Name:PETER
Authorized Official - Last Name:KATURAMU
Authorized Official - Suffix:
Authorized Official - Credentials:MLT
Authorized Official - Phone:781-475-6738
Mailing Address - Street 1:24 CRESCENT ST STE 302
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02453-4360
Mailing Address - Country:US
Mailing Address - Phone:781-475-6738
Mailing Address - Fax:
Practice Address - Street 1:24 CRESCENT ST STE 302
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02453-4360
Practice Address - Country:US
Practice Address - Phone:781-475-6738
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-31
Last Update Date:2015-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAT4X8251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAT4X8OtherTEMPORARY NURSING SERVICES AGENCY