Organization
C. DIEDERICK VAN DER VELDE
Active
Other names
The Woodlands of Middletown, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DIEDERICK VAN DER VELDE (SOLE OWNER)
(502) 500-7798
Entity
Organization
Contact information
Practice address
3000 MCGEE AVE, MIDDLETOWN, OH 45044-4991
(513) 423-2322
Mailing address
3000 MCGEE AVE, MIDDLETOWN, OH 45044-4991
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
OH
Other
Enumeration date
07/27/2012
Last updated
07/27/2012
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