Organization
SIOUXLAND RESIDENTIAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES W RIXNER (DIRECTOR)
(712) 234-1055
Entity
Organization
Contact information
Practice address
1815 PIERCE STREET, SIOUX CITY, IA 51105
(712) 234-1055
(712) 234-0574
Mailing address
PO BOX 1047, SIOUX CITY, IA 51102-1047
(712) 234-1055
(712) 234-0574
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
970948
IA
3104A0625X
Assisted Living Facility (Mental Illness)
970952
IA
3104A0625X
Assisted Living Facility (Mental Illness)
970953
IA
3104A0625X
Assisted Living Facility (Mental Illness)
970971
IA
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
970977
IA
3104A0625X
Assisted Living Facility (Mental Illness)
970984
IA
3104A0625X
Assisted Living Facility (Mental Illness)
970988
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0245795
—
IA
05
—
0894113
—
IA
05
—
0894121
—
IA
05
—
0894139
—
IA
05
—
0894147
—
IA
05
—
0896860
—
IA
05
—
0896878
—
IA
05
—
0896928
—
IA
Enumeration date
02/14/2007
Last updated
08/22/2020
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