DEREK J BORTIS NPI 1457010019

NPI Information

Derek J Bortis is an assisted living facility in Phoenix, AZ. The provider is 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. Derek J Bortis NPI is 1457010019. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2405 W FLORENTINE RD
PHOENIX, AZ
ZIP 85086-602
Phone: (480) 826-5087

The enumeration date for this NPI number is 12/10/2021 and was last updated on 12/10/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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