Individual provider · Type 1 NPI

Derek J. Bortis

Assisted Living Facility · Phoenix, AZ

NPI number 1457010019 Active

Practice location

2405 W Florentine Rd
Phoenix, AZ 85086-6602

Call (480) 826-5087 Map

Mailing address

26204 N Fernbush Dr
Phoenix, AZ 85083-1625

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1457010019

Derek J. Bortis's National Provider Identifier is 1457010019, issued on Dec 10, 2021. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Phoenix, AZ. The record was last updated on Dec 10, 2021.