# PROXIMA HEALTHCARE AGENCY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790640472
- **Authorized official:** BLAIN SIMEON (MANAGER)
- **Authorized official phone:** (781) 513-0604

## Contact information

- **Practice address:** 107 GLEN RD, WILMINGTON, MA 01887-3537
- **Practice address phone:** (781) 513-0604
- **Mailing address:** 107 GLEN RD, WILMINGTON, MA 01887-3537
- **Mailing address phone:** (781) 513-0604

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/16/2025
- **Last updated:** 05/04/2026