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
703 LILLY RD NE STE 102, OLYMPIA, WA 98506-5191
(360) 456-4052
(360) 455-7471
Mailing address
19625 62ND AVE S, SUITE A101, KENT, WA 98032-1103
(360) 456-4052
(360) 455-7471
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2001945
—
WA
Enumeration date
02/06/2009
Last updated
07/17/2024
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