NPI | 1659940997 |
---|---|
Doing Business As | PERFORMANCE HOME MEDICAL |
Entity Type | Organization |
Authorized Contact | LUANA MICHELE HALL Manager Of Compliance 206-569-4601 |
Organization Subpart ? | No |
Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2021-06-22 |
Last Update Date | 2024-07-17 |