Organization
PERFORMANCE PLUS MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLYN SMITH (OWNER)
(816) 232-5113
Entity
Organization
Contact information
Practice address
1802 N WOODBINE RD, SAINT JOSEPH, MO 64506-3667
(816) 232-5113
(816) 232-0453
Mailing address
1802 N WOODBINE RD, SAINT JOSEPH, MO 64506-3667
(816) 232-5113
(816) 232-0453
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620065988
—
MO
Enumeration date
07/31/2017
Last updated
07/21/2022
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