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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