Organization
RESIDENTIAL CARE XII L.L.C.
Active
Other names
Forest Hills Commons
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE VAN CAMP CPA (CFO OF ASC)
(317) 788-2500
Entity
Organization
Contact information
Practice address
9107 TAYLORSVILLE RD, LOUISVILLE, KY 40299-1751
(502) 499-5533
(502) 313-0299
Mailing address
9107 TAYLORSVILLE RD, LOUISVILLE, KY 40299-1751
(502) 499-5533
(502) 313-0299
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/02/2020
Last updated
09/25/2020
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