Provider Demographics
NPI:1336102110
Name:TRESCO, INC.
Entity Type:Organization
Organization Name:TRESCO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:WASHINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:575-528-2200
Mailing Address - Street 1:1800 COPPER LOOP
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88005-8139
Mailing Address - Country:US
Mailing Address - Phone:575-528-2200
Mailing Address - Fax:575-524-2575
Practice Address - Street 1:1800 COPPER LOOP
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88005-8139
Practice Address - Country:US
Practice Address - Phone:575-528-2200
Practice Address - Fax:575-524-2575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-11
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMD1135Medicaid
NME7413Medicaid