# KIMBERLY HEALTH SYSTEMS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Michael Manor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255332383
- **Authorized official:** MRS. BEVERLY J WILSON RN (ADMINISTRATOR/OWNER)
- **Authorized official phone:** (307) 358-3397

## Contact information

- **Practice address:** 1108 BIRCH ST, DOUGLAS, WY 82633-2761
- **Practice address phone:** (307) 358-3397
- **Mailing address:** 1108 BIRCH ST, DOUGLAS, WY 82633-2761
- **Mailing address phone:** (307) 358-3397

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 06-116 | WY | Yes |

## Other

- **Enumeration date:** 08/10/2005
- **Last updated:** 08/22/2020