Provider Demographics
NPI:1477842755
Name:MAXIMA INDUSTRIES INCORPORATED
Entity Type:Organization
Organization Name:MAXIMA INDUSTRIES INCORPORATED
Other - Org Name:MAXIMA SKILLS CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:T
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-343-0930
Mailing Address - Street 1:2301 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70802-3146
Mailing Address - Country:US
Mailing Address - Phone:225-343-0930
Mailing Address - Fax:225-343-0939
Practice Address - Street 1:2301 MAIN ST
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70802-3146
Practice Address - Country:US
Practice Address - Phone:225-343-0930
Practice Address - Fax:225-343-0939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-07
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDADC2373251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services