| Organization Name: | HEIDA LTD. CO. |
| NPI Number: | 1043467970 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LISA MARIE HEIDA (SPEECH THERAPIST AIDE) |
| Mailing Address: | 2327 Eastbrooke Rd Twin Falls |
| State: | ID US |
| Postal Code: | 833017302 |
| Phone Number: | 2084209773 |
| Fax Number: | |
| NPI Enumeration Date: | 08/21/2008 |
| NPI Last Update Date: | 08/21/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2355S0801X |
| License Number: | SLPA-1234 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Specialist/Technologist |
| Taxonomy Specialization: | Speech-Language Assistant |
| Taxonomy Definition: | |