# MIDDLESEX COUNTY IMPROVEMENT AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ROOSEVELT CARE CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477646636
- **Authorized official:** MARK SORRENTO (ADMINISTRATOR)
- **Authorized official phone:** (732) 767-3720

## Contact information

- **Practice address:** 118 PARSONAGE RD, EDISON, NJ 08837-2424
- **Practice address phone:** (732) 321-6800
- **Practice address fax:** (732) 321-0734
- **Mailing address:** 118 PARSONAGE RD, EDISON, NJ 08837-2424
- **Mailing address phone:** (732) 321-6800
- **Mailing address fax:** (732) 321-0734

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 021203 | NJ | Yes |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 12/08/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4485408 | — | NJ |
| 05 | — | 4485416 | — | NJ |