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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
3327 COLBY AVE STE A, EVERETT, WA 98201-6403
(866) 687-4463
(877) 414-2727
Mailing address
19625 62ND AVE S STE A101, KENT, WA 98032-1106
(253) 852-5612
(253) 852-0427

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
NONE REQUIRED
WA
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
NOT REQUIRED
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
20351485
WA
Enumeration date
05/08/2013
Last updated
07/17/2024
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