MEDICARE: LIFEWAY SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	372600000X	Adult Companion

General Provider Information

NPI Number	:	1790644482
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFEWAY SERVICES, LLC

Provider Business Mailing Address
First Line	:	231 BROAD ST
Second Line	:
City	:	NEW BETHLEHEM
State	:	PA
Zip	:	16242-1001
Country	:	US
Telephone Number	:	814-408-9888
Fax Number	:

Provider Business Practice Location Address
First Line	:	231 BROAD ST
Second Line	:
City	:	NEW BETHLEHEM
State	:	PA
Zip	:	16242-1001
Country	:	US
Telephone Number	:	814-408-9888
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	AARON CLYDE
Credential	:
Telephone Number	:	814-408-9888

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/22/2026

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Directions to “LIFEWAY SERVICES, LLC ” Practice Location

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