Diederick Van Der Velde

NPI #1053616318 in Hamilton, Ohio

Provider Information

NPI Number
1053616318
Entity Type
Organization
Organization Name
Diederick Van Der Velde
Primary Specialty
Assisted Living Facility
Enumeration Date
Jan 18, 2011
Last Updated
Jan 18, 2011

Practice Location

Address
896 NORTHWEST WASHINGTON BLVD
State
Ohio
ZIP Code
45013-1281
Phone
(502) 500-7798

Authorized Official

Name
DIEDERICK VAN DER VEDLE
Title
OWNER
Phone
(502) 500-7798

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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