# RESIDENTIAL CARE XII L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Forest Hills Commons
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134733686
- **Authorized official:** STEVE VAN CAMP CPA (CFO OF ASC)
- **Authorized official phone:** (317) 788-2500

## Contact information

- **Practice address:** 9107 TAYLORSVILLE RD, LOUISVILLE, KY 40299-1751
- **Practice address phone:** (502) 499-5533
- **Practice address fax:** (502) 313-0299
- **Mailing address:** 9107 TAYLORSVILLE RD, LOUISVILLE, KY 40299-1751
- **Mailing address phone:** (502) 499-5533
- **Mailing address fax:** (502) 313-0299

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/02/2020
- **Last updated:** 09/25/2020