| NPI | 1205877024 |
|---|---|
| Doing Business As | VIRGINIA GAY ANNEX |
| Entity Type | Organization |
| Authorized Contact | MICHAEL J RIEGE Administrator 319-472-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2020-08-22 |