IndividualActive
Stephanie Portis
NPI 1487412615 · Assisted Living Facility (Behavioral Disturbances) · Little Rock, AR
Provider details
- NPI number
- 1487412615
- Entity type
- Individual
- Primary specialty
- Assisted Living Facility (Behavioral Disturbances)Nursing & Custodial Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
- License
- BL166001 (AR)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
10515 W Markham St
Little Rock, AR 72205-2297
Phone: (501) 393-0083
Fax: (501) 391-7272
Approximate (ZIP-level) locationGet directions
Mailing address
10515 W Markham St Ste L7
Little Rock, AR 72205-2288
Registry dates
- Enumerated
- 2024-03-12
- Last updated
- 2024-04-18
- Certified
- 2024-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.