Provider Demographics
NPI:1023867413
Name:FREE AIR LIFE INC
Entity type:Organization
Organization Name:FREE AIR LIFE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE / PROJECT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BILLIEJEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NEWLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-681-3287
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:559-681-3287
Mailing Address - Fax:
Practice Address - Street 1:1413 N. ALTA AVE
Practice Address - Street 2:
Practice Address - City:DINUBA
Practice Address - State:CA
Practice Address - Zip Code:93618
Practice Address - Country:US
Practice Address - Phone:559-681-3287
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-16
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty