# MAYFAIR OPERATOR LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ROOSEVELT REHABILITATION AND HEALTHCARE CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134774946
- **Authorized official:** MINDEE POSEN (MEDICARE ADMINISTRATION OFFICER)
- **Authorized official phone:** (732) 903-1958

## Contact information

- **Practice address:** 7800 BUSTLETON AVE, PHILADELPHIA, PA 19152-3812
- **Practice address phone:** (732) 903-1958
- **Mailing address:** 1608 ROUTE 88, BRICK, NJ 08724-3009
- **Mailing address phone:** (732) 903-1958

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 08/08/2019
- **Last updated:** 04/04/2024