Organization
WISE CHOICE RESIDENTIAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FERNANDO LEROY FAVORS (OWNER)
(678) 409-5882
Entity
Organization
Contact information
Practice address
1040 LAKE HAYNES DR NE, CONYERS, GA 30012-1519
(770) 365-0578
(770) 679-4143
Mailing address
1040 LAKE HAYNES DR NE, CONYERS, GA 30012-1519
(770) 365-0578
(770) 679-4143
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
621960416A
GA
Other
Enumeration date
01/27/2010
Last updated
01/27/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us