| NPI | 1750275061 |
|---|---|
| Doing Business As | WISE LIVING LLC |
| Entity Type | Organization |
| Authorized Contact | ANTONIO BOYKINS CEO 804-980-8281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-06-03 |
| Last Update Date | 2025-06-03 |