Organization
PERFORMANCE MODALITIES INC
Active
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
1110 W PARK PL STE 308, COEUR D ALENE, ID 83814-2715
(866) 687-4463
(877) 414-2727
Mailing address
PO BOX 94307, SEATTLE, WA 98124-6607
(253) 372-5530
(253) 854-4891
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
05/12/2020
Last updated
07/17/2024
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