Organization
DEFPOTEC CORPORATION
Active
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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