Organization
LIFELINE MEDCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AHMAD HIJAZI (OWNER)
(917) 525-2517
Entity
Organization
Contact information
Practice address
145 S ALLEN ST, OFC 2, STATE COLLEGE, PA 16801-9998
(917) 525-2517
Mailing address
145 S ALLEN ST OFC 2, STATE COLLEGE, PA 16801-9998
Taxonomy
Speciality
Code
Description
License number
State
332BD1200X
Dialysis Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
11/11/2025
Last updated
02/02/2026
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