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Organization
DEER DALE HEALTHCARE LLC
Active
Organization
DEER DALE HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (SECRETARY)
(949) 540-1249
Entity
Organization
Contact information
Practice address
407 N 8TH ST, MOUNT HOREB, WI 53572-1872
(608) 437-5511
(608) 470-4065
Mailing address
407 N 8TH ST, MOUNT HOREB, WI 53572-1872
(608) 437-5511
(608) 470-4065
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/31/2026
Last updated
09/17/2026
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