Provider Demographics
NPI:1366801862
Name:TRU-QUALITY DESIGN/CONSTRUCTION INC.
Entity type:Organization
Organization Name:TRU-QUALITY DESIGN/CONSTRUCTION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-459-3231
Mailing Address - Street 1:3301 COORS BLVD NW STE R
Mailing Address - Street 2:158
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87120-1268
Mailing Address - Country:US
Mailing Address - Phone:505-459-3231
Mailing Address - Fax:
Practice Address - Street 1:7500 MESQUITE WOOD DR NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87120-4047
Practice Address - Country:US
Practice Address - Phone:505-459-3231
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-12
Last Update Date:2016-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM381909225XE0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XE0001XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistEnvironmental ModificationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM27337235Medicaid