Individual
STEPHANIE PORTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10515 W MARKHAM ST, LITTLE ROCK, AR 72205-2297
(501) 393-0083
(501) 391-7272
Mailing address
10515 W MARKHAM ST STE L7, LITTLE ROCK, AR 72205-2288
(501) 393-0083
(501) 391-7272
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
BL166001
AR
Other
Enumeration date
03/12/2024
Last updated
04/18/2024
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