Organization
PERFORMANCE MODALITIES INC
Active
Other names
Performance Home Medical
Organization subpart
No
Provider details
NPI number
Authorized official
LUANA MICHELE HALL NAC (DIRECTOR OF COMPLIANCE)
(206) 569-4601
Entity
Organization
Contact information
Practice address
100 S 11TH ST, MOUNT VERNON, WA 98274-4026
(360) 826-7090
Mailing address
PO BOX 94307, SEATTLE, WA 98124-6607
(253) 372-5530
(253) 854-4891
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
01/24/2020
Last updated
07/17/2024
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