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Organization

PERFORMANCE MODALITIES INC

Active
Other names
Performance Home Medical
Organization subpart
No

Provider details

NPI number
Authorized official
LUANA MICHELE HALL (DIRECTOR OF COMPLIANCE)
(206) 569-4601
Entity
Organization

Contact information

Practice address
2414 NW MYHRE RD, SUITE 100, SILVERDALE, WA 98383-7669
(360) 698-0674
(360) 698-0857
Mailing address
19625 62ND AVE S, SUITE A101, KENT, WA 98032-1103
(253) 852-5612
(253) 852-0427

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2035186
WA
Enumeration date
12/20/2012
Last updated
07/17/2024
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