# QUALITY LIFE SERVICES - SUGAR CREEK, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Quality Life Services - Sugar Creek
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659146355
- **Authorized official:** STEVEN D. TACK (PRESIDENT/CEO)
- **Authorized official phone:** (724) 431-0770

## Contact information

- **Practice address:** 120 LAKESIDE DR, WORTHINGTON, PA 16262-5102
- **Practice address phone:** (724) 445-3000
- **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:** 11/22/2023
- **Last updated:** 11/22/2023