Individual
CAMILLE VANORDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1750 VERNON AVE, BLACKFOOT, ID 83221-3053
(208) 380-0467
Mailing address
1750 VERNON AVE, BLACKFOOT, ID 83221-3053
(208) 380-0467
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
172A00000X
Driver
—
—
175T00000X
Peer Specialist
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
ID
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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