# CENTRAL IOWA RESIDENTIAL SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CIRSI
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073698346
- **Authorized official:** MR. JEFFREY L VANCE (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (641) 752-5762

## Contact information

- **Practice address:** 1002 S 12TH AVE, MARSHALLTOWN, IA 50158-3607
- **Practice address phone:** (641) 752-5762
- **Practice address fax:** (641) 752-9514
- **Mailing address:** 1002 S 12TH AVE, PO BOX 1356, MARSHALLTOWN, IA 50158-3607
- **Mailing address phone:** (641) 752-5762
- **Mailing address fax:** (641) 752-9514

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/26/2006
- **Last updated:** 08/22/2020