# VAN DYK HEALTHCARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Van Dyk Manor of Ridgewood
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710069133
- **Authorized official:** MISS DONNA M. MELCHIONDA (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (201) 689-7991

## Contact information

- **Practice address:** 304 S VAN DIEN AVE, RIDGEWOOD, NJ 07450-5200
- **Practice address phone:** (201) 689-7991
- **Practice address fax:** (201) 445-9535
- **Mailing address:** 644 GOFFLE RD, HAWTHORNE, NJ 07506-3452
- **Mailing address phone:** (201) 689-7991
- **Mailing address fax:** (973) 304-2046

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 060227 | NJ | Yes |

## Other

- **Enumeration date:** 10/19/2006
- **Last updated:** 01/07/2010