Organization
QLS FAIRMONT LLC
Active
Parent organization
TACK HUD LEASE HOLDINGS LP
Other names
Quality Life Services - Fairmont
Organization subpart
Yes
Provider details
NPI number
Legal business name
TACK HUD LEASE HOLDINGS LP
Authorized official
DEAN RIPPEE (CFO)
(724) 431-0770
Entity
Organization
Contact information
Practice address
130 KAUFMAN DR, FAIRMONT, WV 26554-2179
(724) 431-0700
Mailing address
612 N MAIN ST, BUTLER, PA 16001-4363
(724) 431-0770
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/27/2017
Last updated
12/27/2017
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