# TDA INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962658708
- **Authorized official:** JESSI ERIN ECKLEY (PRESIDENT)
- **Authorized official phone:** (208) 463-9464

## Contact information

- **Practice address:** 524 E LOCUST LN, NAMPA, ID 83686-8415
- **Practice address phone:** (208) 463-9464
- **Practice address fax:** (208) 463-9464
- **Mailing address:** 524 E LOCUST LN, NAMPA, ID 83686-8415
- **Mailing address phone:** (208) 463-9464
- **Mailing address fax:** (208) 463-9464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 808110900 | ID | Yes |
| 251E00000X | Home Health Agency | 808110901 | ID | — |

## Other

- **Enumeration date:** 08/12/2008
- **Last updated:** 08/27/2008
