Organization
WISE LIVING LLC
Active
Other names
Wise Living Llc
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO BOYKINS (CEO)
(804) 980-8281
Entity
Organization
Contact information
Practice address
1248 MOORE ST, RICHMOND, VA 23220-2243
(804) 980-8281
Mailing address
1248 MOORE ST, RICHMOND, VA 23220-2243
(804) 980-8281
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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