Organization · Type 2 NPI

C. Diederick Van Der Velde

Assisted Living Facility · Middletown, OH

NPI number 1457607459 Active

About NPI 1457607459

C. Diederick Van Der Velde's National Provider Identifier is 1457607459, issued on Jul 27, 2012. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Middletown, OH. The record was last updated on Jul 27, 2012.