Organization
DEFPOTEC CORPORATION
Active
Other names
DEFPOTEC CORPORATION, DEFPOTEC CORP.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTIE VOLAURA LEE (AUTHORIZED OFFICIAL)
(248) 595-8271
Entity
Organization
Contact information
Practice address
17260 W 10 MILE RD, SOUTHFIELD, MI 48075-2949
(248) 809-4633
Mailing address
14200 W 8 MILE RD, 37047, OAK PARK, MI 48237-7700
(313) 455-4146
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
—
—
163WG0600X
Gerontology Registered Nurse
—
—
163WP0000X
Pain Management Registered Nurse
—
—
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
09/29/2016
Last updated
10/24/2019
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