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Mr. Alfred Conway Porter, MBA
Assisted Living Facility (Mental Illness) in Jackson, Mississippi
NPI 1740756758

Alfred Conway Porter is an Assisted Living Facility (Mental Illness) based in Jackson, MS and is specialized in Assisted Living, Mental Illness. Alfred Conway Porter practices in Jackson, MS and has the professional credentials of MBA. The NPI Number for Alfred Conway Porter is 1740756758 and holds a License No. (Mississippi).

The current practice location address for Alfred Conway Porter is 3201 Hollywood Ave, Jackson, MS and can be reached out via phone at 601-665-3402. You can also correspond with Alfred Conway Porter through the mailing address at 4358 CALIFORNIA AVE, JACKSON, MS - 39213-4707 (mailing address contact number: ).

Location: 3201 Hollywood Ave, Jackson, MS, 39213-4707
person
Provider Profile Details
NPI Number
1740756758
Provider Name
Alfred Conway Porter
Credential
MBA
Provider Entity Type
Individual
Gender
Male
Address
3201 Hollywood Ave, Jackson, MS, 39213-4707
Phone Number
601-665-3402
Fax Number
Provider Enumeration Date
10/17/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3201 Hollywood Ave
City
State
Zip
39213-6754
Phone Number
601-665-3402
Fax Number
person
Provider Business Mailing Address Details
Address
4358 California Ave
City
State
Zip
39213-4707
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Mental Illness
Taxonomy
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
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