# FAITH HOPE & CHARITY SUPPORTIVE LIVING INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093112633
- **Authorized official:** MR. BRIAN HOLMAN (ADMINISTRATOR)
- **Authorized official phone:** (414) 764-6700

## Contact information

- **Practice address:** 2713 S CHICAGO AVE, SOUTH MILWAUKEE, WI 53172-3129
- **Practice address phone:** (414) 764-6700
- **Practice address fax:** (414) 764-6702
- **Mailing address:** 2713 S CHICAGO AVE, SOUTH MILWAUKEE, WI 53172-3129
- **Mailing address phone:** (414) 764-6700
- **Mailing address fax:** (414) 764-6702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/25/2014
- **Last updated:** 11/25/2014