Organization
HIGHLAND CONSTRUCTION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL QUINTANA (SOLE OWNER)
(505) 425-3644
Entity
Organization
Contact information
Practice address
614 8TH ST, LAS VEGAS, NM 87701-4251
(505) 425-3644
(505) 454-0787
Mailing address
614 8TH ST, LAS VEGAS, NM 87701-4251
(505) 425-3644
(505) 454-0787
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
384112
NM
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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