# QLS FAIRMONT LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TACK HUD LEASE HOLDINGS LP
- **Other names:** Quality Life Services - Fairmont
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1629584727
- **Legal business name:** TACK HUD LEASE HOLDINGS LP
- **Authorized official:** DEAN RIPPEE (CFO)
- **Authorized official phone:** (724) 431-0770

## Contact information

- **Practice address:** 130 KAUFMAN DR, FAIRMONT, WV 26554-2179
- **Practice address phone:** (724) 431-0700
- **Mailing address:** 612 N MAIN ST, BUTLER, PA 16001-4363
- **Mailing address phone:** (724) 431-0770

## Taxonomy

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

## Other

- **Enumeration date:** 12/27/2017
- **Last updated:** 12/27/2017