Individual provider · Type 1 NPI
Alfred Conway Porter, MBA
Assisted Living Facility (Mental Illness) · Jackson, MS
Practice location
3201 Hollywood Ave
Jackson, MS 39213-6754
Mailing address
4358 California Ave
Jackson, MS 39213-4707
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility (Mental Illness) Primary | 3104A0625X | None listed |
Assisted Living Facility (Mental Illness): 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.
Other assisted living facility (mental illness) providers in Jackson
About NPI 1740756758
Alfred Conway Porter, MBA's National Provider Identifier is 1740756758, issued on Oct 17, 2018. The primary taxonomy on file is Assisted Living Facility (Mental Illness) (3104A0625X), and the practice location is in Jackson, MS. The record was last updated on Oct 17, 2018.