C. Diederick Van Der Velde
NPI #1457607459 in Middletown, Ohio
Provider Information
- NPI Number
- 1457607459
- Entity Type
- Organization
- Organization Name
- C. Diederick Van Der Velde
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jul 27, 2012
- Last Updated
- Jul 27, 2012
Practice Location
- Address
- 3000 MCGEE AVE
- City
- Middletown
- State
- Ohio
- ZIP Code
- 45044-4991
- Phone
- (513) 423-2322
Authorized Official
- Name
- MR. DIEDERICK VAN DER VELDE
- Title
- SOLE OWNER
- Phone
- (502) 500-7798
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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