# ONEILL SL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Country Lane Retirement Village
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275091308
- **Authorized official:** MARK HOLTKAMP (OWNER)
- **Authorized official phone:** (319) 594-1062

## Contact information

- **Practice address:** 1203 E HYNES AVE, ONEILL, NE 68763-1451
- **Practice address phone:** (402) 961-1358
- **Mailing address:** 1203 E HYNES AVE, ONEILL, NE 68763-1451
- **Mailing address phone:** (402) 961-1358

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 03/07/2019
- **Last updated:** 03/07/2019