OrganizationMaxx Life Health Care LlcFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address1540 Pennsylvania Ave Ste B, Mcdonough, GA 30253-9112(404) 932-7183PECOS EnrollmentBased on the most recent information from CMS, provider Maxx Life Health Care Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:15 AM.Profile DetailsProvider ID1487362919Provider TypeOrganizationFull NameMaxx Life Health Care LlcSubpartNoEnumeration Date11/14/2022Last Updated12/22/2023Contact InformationPractice LocationPractice Address1540 Pennsylvania Ave Ste B, Mcdonough, GA 30253-9112Phone(404) 932-7183FaxUnlisted FaxMailing LocationMailing Address1540 Pennsylvania Ave Ste B, Mcdonough, GA 30253-9112Phone(404) 932-7183FaxUnlisted FaxAuthorized OfficialNameWaller, Maria (Managing Member)Phone(404) 932-7183Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode261QH0100XDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseUnlisted Issuer