| NPI | 1255332383 |
|---|---|
| Doing Business As | MICHAEL MANOR |
| Entity Type | Organization |
| Authorized Contact | BEVERLY J WILSON Administrator/Owner 307-358-3397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WY 06-116) |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2020-08-22 |