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Organization
PROXIMUS HOME HEALTH SERVICES INC
Active
Organization
PROXIMUS HOME HEALTH SERVICES INC
Active
Other names
Proximus Home Health Services Inc
Organization subpart
No
Provider details
NPI number
Authorized official
ETIENNE CLEMENT POUFONG RN-BSN (ADMINISTRATOR)
(817) 633-9058
Entity
Organization
Contact information
Practice address
2401 AVENUE J, SUITE 215, ARLINGTON, TX 76006-6230
(817) 633-9058
(817) 471-3269
Mailing address
2401 AVENUE J, SUITE 215, ARLINGTON, TX 76006-6230
(817) 633-9058
(817) 471-3269
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
016074
TX
253Z00000X
In Home Supportive Care Agency
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Other
Enumeration date
09/10/2013
Last updated
03/19/2014
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