Provider Demographics
NPI:1528940764
Name:FREE AIR LIFE, INC.
Entity type:Organization
Organization Name:FREE AIR LIFE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:HOGUE
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:559-853-9252
Mailing Address - Street 1:PO BOX 6
Mailing Address - Street 2:
Mailing Address - City:DINUBA
Mailing Address - State:CA
Mailing Address - Zip Code:93618-0006
Mailing Address - Country:US
Mailing Address - Phone:559-853-9252
Mailing Address - Fax:
Practice Address - Street 1:825 S BRUBAKER WAY
Practice Address - Street 2:
Practice Address - City:SANTAQUIN
Practice Address - State:UT
Practice Address - Zip Code:84655-8359
Practice Address - Country:US
Practice Address - Phone:559-853-9252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FREE AIR LIFE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty