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Organization

WISE PROTECTIVE SERVICE AND MORE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANTOMIUS WISE (FOUNDER)
(678) 668-5273
Entity
Organization

Contact information

Practice address
42713 WILMAR SQ, BROADLANDS, VA 20148-4147
(678) 668-5273
(276) 208-0023
Mailing address
42713 WILMAR SQ, BROADLANDS, VA 20148-4147

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
251V00000X
Voluntary or Charitable Agency

Other

Enumeration date
06/30/2023
Last updated
06/30/2023
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