Organization
PERFORMANCE MODALITIES, INC.
Active
Other names
Performance Home Medical
Organization subpart
No
Provider details
NPI number
Authorized official
LUANA MICHELE HALL NAC (DIRECTOR OF COMPLIANCE)
(206) 569-4601
Entity
Organization
Contact information
Practice address
1802 YAKIMA AVE STE 200, TACOMA, WA 98405-4499
(866) 687-4463
(877) 414-2727
Mailing address
19625 62ND AVE S STE A101, KENT, WA 98032-1106
(866) 687-4463
(877) 414-2727
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
601 488 099
WA
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1055116
—
WA
Enumeration date
10/23/2007
Last updated
07/17/2024
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