Organization
PERFORMANCE KITCHEN, PBC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER MILLIGAN (SENIOR ACCOUNTANT)
(425) 503-4603
Entity
Organization
Contact information
Practice address
1209 N ORANGE ST, WILMINGTON, DE 19801-1120
(206) 432-9849
Mailing address
250 H STREET, PMB 4600, BLAINE, WA 98230
(866) 621-9029
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
332U00000X
Home Delivered Meals
Primary
—
—
Other
Enumeration date
07/02/2021
Last updated
08/31/2021
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