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Organization

BEULAH COMMUNITY NURSING HOME

Active
Other names
Knife River Care Center
Organization subpart
No

Provider details

NPI number
Authorized official
LINDA L CZYWCZYNSKI (CHIEF OPERATING OFFICER/CFO)
(701) 873-4322
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1002A
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000030002
ND
01
1740283860
NPI
ND
Enumeration date
05/23/2005
Last updated
08/01/2011
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