Organization
PERFORMANCE MODALITIES, INC.
Active
Other names
dba 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
777 N 5TH AVE, SUITE 100, SEQUIM, WA 98382-3080
(360) 683-2650
(360) 683-2542
Mailing address
19625 62ND AVE S, SUITE A101, KENT, WA 98032-1103
(866) 687-4463
(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
01
—
1109680001
PRIMARY PTAN
WA
Enumeration date
03/12/2015
Last updated
07/17/2024
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