Organization
KIMBERLY HEALTH SYSTEMS
Active
Other names
Michael Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEVERLY J WILSON RN (ADMINISTRATOR/OWNER)
(307) 358-3397
Entity
Organization
Contact information
Practice address
1108 BIRCH ST, DOUGLAS, WY 82633-2761
(307) 358-3397
Mailing address
1108 BIRCH ST, DOUGLAS, WY 82633-2761
(307) 358-3397
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
06-116
WY
Other
Enumeration date
08/10/2005
Last updated
08/22/2020
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