Organization
MIDDLESEX COUNTY IMPROVEMENT AUTHORITY
Active
Parent organization
MIDDLESEX COUNTY IMPROVEMENT AUTHORITY
Other names
Roosevelt Care Center at Old Bridge
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDDLESEX COUNTY IMPROVEMENT AUTHORITY
Authorized official
LIOR BENISTI (ADMINISTRATOR)
(732) 360-9830
Entity
Organization
Contact information
Practice address
1133 MARLBORO RD, OLD BRIDGE, NJ 08857-4032
(732) 360-9830
(732) 452-1950
Mailing address
1133 MARLBORO RD, OLD BRIDGE, NJ 08857-4032
(732) 360-9830
(732) 360-9831
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
12023
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0286176
—
NJ
05
—
0300390
—
NJ
Enumeration date
12/01/2011
Last updated
01/05/2023
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