Organization Name: | FAITH HOPE & CHARITY SUPPORTIVE LIVING INC |
NPI Number: | 1093112633 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRIAN HOLMAN (ADMINISTRATOR) |
Mailing Address: | 2713 S Chicago Ave South Milwaukee |
State: | WI US |
Postal Code: | 531723129 |
Phone Number: | 4147646700 |
Fax Number: | 4147646702 |
NPI Enumeration Date: | 11/25/2014 |
NPI Last Update Date: | 11/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |