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Organization
MIDDLESEX COUNTY IMPROVEMENT AUTHORITY
Active
Organization
MIDDLESEX COUNTY IMPROVEMENT AUTHORITY
Active
Other names
ROOSEVELT CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SORRENTO (ADMINISTRATOR)
(732) 767-3720
Entity
Organization
Contact information
Practice address
118 PARSONAGE RD, EDISON, NJ 08837-2424
(732) 321-6800
(732) 321-0734
Mailing address
118 PARSONAGE RD, EDISON, NJ 08837-2424
(732) 321-6800
(732) 321-0734
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
021203
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4485408
—
NJ
05
—
4485416
—
NJ
Enumeration date
10/02/2006
Last updated
12/08/2022
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