# BEULAH COMMUNITY NURSING HOME

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Knife River Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740283860
- **Authorized official:** LINDA L CZYWCZYNSKI (CHIEF OPERATING OFFICER/CFO)
- **Authorized official phone:** (701) 873-4322

## Contact information

- **Practice address:** 118 22ND ST NE, BEULAH, ND 58523-6134
- **Practice address phone:** (701) 873-4322
- **Practice address fax:** (701) 873-3182
- **Mailing address:** 118 22ND ST NE, BEULAH, ND 58523-6134
- **Mailing address phone:** (701) 873-4322
- **Mailing address fax:** (701) 873-3182

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 1002A | ND | Yes |

## Other

- **Enumeration date:** 05/23/2005
- **Last updated:** 08/01/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000030002 | — | ND |
| 01 | — | 1740283860 | NPI | ND |