Healthcare Provider Details

I. General information

NPI: 1366801862
Provider Name (Legal Business Name): TRU-QUALITY DESIGN/CONSTRUCTION INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2016
Last Update Date: 02/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7500 MESQUITE WOOD DR NW
ALBUQUERQUE NM
87120-4047
US

IV. Provider business mailing address

3301 COORS BLVD NW STE R 158
ALBUQUERQUE NM
87120-1268
US

V. Phone/Fax

Practice location:
  • Phone: 505-459-3231
  • Fax:
Mailing address:
  • Phone: 505-459-3231
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XE0001X
TaxonomyEnvironmental Modification Occupational Therapist
License Number381909
License Number StateNM

VIII. Authorized Official

Name: MR. MICHAEL ORTIZ
Title or Position: PRESIDENT
Credential:
Phone: 505-459-3231