# QLS JEFFERSON LP

> 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
- **Other names:** Quality Life Services - Jefferson
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285118331
- **Authorized official:** MR. STEVEN D TACK (CEO)
- **Authorized official phone:** (724) 431-0770

## Contact information

- **Practice address:** 540 COAL VALLEY RD, JEFFERSON HILLS, PA 15025-3704
- **Practice address phone:** (412) 466-1125
- **Practice address fax:** (412) 466-1971
- **Mailing address:** 612 N MAIN ST, BUTLER, PA 16001-4363
- **Mailing address phone:** (724) 431-0770
- **Mailing address fax:** (724) 284-3712

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/24/2018
- **Last updated:** 09/24/2018