WISE CHOICE RESIDENTIAL is a community based residential treatment facility, intellectual and/or developmental disabilities in Conyers, GA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. WISE CHOICE RESIDENTIAL NPI is 1720319981. The provider is registered as an organization entity type.
The provider's business location address is:
1040 LAKE HAYNES DR NE
CONYERS, GA
ZIP 30012-519
Phone: (770) 365-0578
Fax: (770) 679-4143
The provider's authorized official is Fernando Leroy Favors .
The authorized official title is Owner and has the following contact phone number (678) 409-5882.
The enumeration date for this NPI number is 1/27/2010 and was last updated on 1/27/2010.