PATRICK DA'VON PORTER NPI 1023644630

NPI Information

Patrick Da'von Porter is an assisted living and mental illness assisted living facility in Las Vegas, NV. The provider is 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. Patrick Da'von Porter NPI is 1023644630. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4975 DUNEVILLE ST APT 325
LAS VEGAS, NV
ZIP 89118-272
Phone: (702) 417-4139

The enumeration date for this NPI number is 3/14/2020 and was last updated on 3/14/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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