# PERFORMANCE HOME HEALTH LLC

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

## Provider details

- **NPI number:** 1508873340
- **Authorized official:** BRENT SHANE FOSTER MPT (OWNER/ PHYSICAL THERAPIST)
- **Authorized official phone:** (918) 341-5355

## Contact information

- **Practice address:** 13502 E 480 RD, CLAREMORE, OK 74017-3591
- **Practice address phone:** (918) 341-5355
- **Mailing address:** 13502 E 480 RD, CLAREMORE, OK 74017-3591

## Taxonomy

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

## Other

- **Enumeration date:** 08/02/2006
- **Last updated:** 08/22/2020