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

Individual provider Assisted Living Facility (Mental Illness) · NPI 1023644630

Patrick Da'Von Porter is an Assisted Living Facility (Mental Illness) in Las Vegas, Nevada. Practices as a sole proprietor. Licensed in Nevada.

Licensed in
NV
In the registry since
2020
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Practice location Address checks out

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

Record details

NPI number1023644630
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 14, 2020
Last updated in NPPESMarch 14, 2020
Certification dateMarch 14, 2020

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