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Wise Choice Residential
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Conyers, Georgia
NPI 1720319981

Wise Choice Residential is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Conyers, GA. Wise Choice Residential practices in Conyers, GA. The NPI Number for Wise Choice Residential is 1720319981 and holds a License No. 621960416A (Georgia).

The current practice location address for Wise Choice Residential is 1040 Lake Haynes Dr Ne, Conyers, GA and can be reached out via phone at 770-365-0578 and via fax at 770-679-4143. You can also correspond with Wise Choice Residential through the mailing address at 1040 LAKE HAYNES DR NE, CONYERS, GA - 30012-1519 (mailing address contact number: 770-365-0578).

Location: 1040 Lake Haynes Dr Ne, Conyers, GA, 30012-1519
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720319981
Provider Name
Wise Choice Residential
Credential
Provider Entity Type
Organization
Address
1040 Lake Haynes Dr Ne, Conyers, GA, 30012-1519
Phone Number
770-365-0578
Fax Number
770-679-4143
Provider Enumeration Date
01/27/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1040 Lake Haynes Dr Ne
City
Conyers
State
Georgia
Zip
30012-1519
Phone Number
770-365-0578
Fax Number
770-679-4143
person
Provider Business Mailing Address Details
Address
1040 Lake Haynes Dr Ne
City
Conyers
State
Georgia
Zip
30012-1519
Phone Number
770-365-0578
Fax Number
770-679-4143
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
621960416A (Georgia)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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