IndividualActive
Alfred Porter, MBA
NPI 1740756758 · Assisted Living Facility (Mental Illness) · Jackson, MS
Provider details
- NPI number
- 1740756758
- Entity type
- Individual
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Credential
- MBA
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
3201 Hollywood Ave
Jackson, MS 39213-6754
Phone: (601) 665-3402
Approximate (ZIP-level) locationGet directions
Mailing address
4358 California Ave
Jackson, MS 39213-4707
Registry dates
- Enumerated
- 2018-10-17
- Last updated
- 2018-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.