Organization
PERFORMANCE MODALITIES INC.
Active
Other names
Performance Home Medical
Organization subpart
No
Provider details
NPI number
Authorized official
LUANA MICHELE HALL (MANAGER OF COMPLIANCE)
(206) 569-4601
Entity
Organization
Contact information
Practice address
19625 62ND AVE S, SUITE A 101, KENT, WA 98032-1103
(253) 852-5612
(253) 852-0427
Mailing address
19625 62ND AVE S, SUITE A 101, KENT, WA 98032-1106
(253) 852-5612
(253) 852-0427
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1042626
—
WA
Enumeration date
04/21/2006
Last updated
08/12/2024
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