Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Alfred Conway Porter, MBA

Individual provider Assisted Living Facility (Mental Illness) · NPI 1740756758

Mr. Alfred Conway Porter, MBA is an Assisted Living Facility (Mental Illness) in Jackson, Mississippi. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
MBA — Master of Business Administration
A graduate business degree.

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Practice location Address checks out

3201 Hollywood Ave
Jackson, MS 39213-6754
Phone: (601) 665-3402
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (Mental Illness) (primary) Taxonomy 3104A0625X

Record details

NPI number1740756758
Entity typeIndividual (Type 1)
GenderMale
Credentials MBA
Sole proprietorYes
NPI enumeratedOctober 17, 2018
Last updated in NPPESOctober 17, 2018

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