NPI 1023644630

Patrick Da'Von Porter

Practitioner Assisted Living Facility (Mental Illness) Las Vegas, NV

Practice location

Address: 4975 Duneville St APT 325, Las Vegas, NV 89118-1272
Phone: (702) 417-4139

Registered specialties

Assisted Living Facility (Mental Illness) Primary

Nursing & Custodial Care Facilities Taxonomy 3104A0625X

Other Assisted Living Facility providers in Nevada →

Registry record

NPI: 1023644630
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Mar 2020
Record last updated: 14 Mar 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.