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Organization
ONEILL SL INC
Active
Organization
ONEILL SL INC
Active
Other names
Country Lane Retirement Village
Organization subpart
No
Provider details
NPI number
Authorized official
MARK HOLTKAMP (OWNER)
(319) 594-1062
Entity
Organization
Contact information
Practice address
1203 E HYNES AVE, ONEILL, NE 68763-1451
(402) 961-1358
Mailing address
1203 E HYNES AVE, ONEILL, NE 68763-1451
(402) 961-1358
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
NULL
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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