Provider Demographics
NPI:1851619464
Name:RTC ENTERPRISE, INC.
Entity Type:Organization
Organization Name:RTC ENTERPRISE, INC.
Other - Org Name:QUALITY CARE PHYSICIANS SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MA.TERESA
Authorized Official - Middle Name:PERENNE
Authorized Official - Last Name:PORCALLA
Authorized Official - Suffix:
Authorized Official - Credentials:BUSINESS OWNER
Authorized Official - Phone:248-909-2527
Mailing Address - Street 1:1425 GIDDINGS RD
Mailing Address - Street 2:
Mailing Address - City:PONTIAC
Mailing Address - State:MI
Mailing Address - Zip Code:48340-2111
Mailing Address - Country:US
Mailing Address - Phone:248-909-2527
Mailing Address - Fax:248-432-7068
Practice Address - Street 1:1425 GIDDINGS RD
Practice Address - Street 2:
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48340-2111
Practice Address - Country:US
Practice Address - Phone:248-909-2527
Practice Address - Fax:248-432-7068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-06
Last Update Date:2010-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty