MR. Alfred Conway Porter, MBA
NPI #1740756758 in Jackson, Mississippi
Provider Information
- NPI Number
- 1740756758
- Entity Type
- Individual
- Name
- MR. Alfred Conway Porter, MBA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Assisted Living Facility - Assisted Living, Mental Illness
- Credential
- MBA
- Enumeration Date
- Oct 17, 2018
- Last Updated
- Oct 17, 2018
Practice Location
- Address
- 3201 HOLLYWOOD AVE
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39213-6754
- Phone
- (601) 665-3402
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness |
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