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Organization

SANDIA VIEW FOUNTAIN HILL LLC

Active
Parent organization
JBC2 LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
JBC2 LLC
Authorized official
BIJU CHERIAN MD (MANAGING PARTNER)
(505) 264-8120
Entity
Organization

Contact information

Practice address
4551 VISTA FUENTE RD NW, ALBUQUERQUE, NM 87114-3800
(505) 582-2906
(505) 212-5307
Mailing address
PO BOX 22566, SANTA FE, NM 87502-2566
(505) 582-2906
(505) 212-5307

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
09/19/2024
Last updated
09/19/2024
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