Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wise Choice Residential

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1720319981

Wise Choice Residential is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Conyers, Georgia. Licensed in Georgia. Registered with an NPI since 2010.

Licensed in
GA
In the registry since
2010

Practice location Address checks out

1040 Lake Haynes Dr NE
Conyers, GA 30012-1519
Phone: (770) 365-0578
Fax: (770) 679-4143
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X · Licence 621960416A (GA)

Record details

NPI number1720319981
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fernando Favors — Owner · (678) 409-5882
NPI enumeratedJanuary 27, 2010
Last updated in NPPESJanuary 27, 2010
Mailing address1040 Lake Haynes Dr Ne, Conyers, GA 30012-1519

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