Organization
RIVERBEND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DIEDERICK VAN DER VELDE (OWNER)
(812) 280-0965
Entity
Organization
Contact information
Practice address
2715 CHARLESTOWN PIKE, JEFFERSONVILLE, IN 47130-8163
(812) 280-0965
(812) 280-8094
Mailing address
2715 CHARLESTOWN PIKE, JEFFERSONVILLE, IN 47130-8163
(812) 280-0965
(812) 280-8094
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
IN
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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