Derek J Bortis
Derek J Bortis is an Assisted Living Facility in Phoenix, Arizona. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
2405 W Florentine RdPhoenix, AZ 85086-6602
Phone: (480) 826-5087
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Assisted Living Facility (primary) | Taxonomy 310400000X |
|---|
Record details
| NPI number | 1457010019 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 10, 2021 |
| Last updated in NPPES | December 10, 2021 |
| Certification date | December 10, 2021 |
| Mailing address | 26204 N Fernbush Dr, Phoenix, AZ 85083-1625 |
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