Provider Demographics
NPI:1114039187
Name:SOUTHERN IOWA RESOURCES FOR FAMILIES, INC
Entity Type:Organization
Organization Name:SOUTHERN IOWA RESOURCES FOR FAMILIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:RAE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:TUCKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-782-4170
Mailing Address - Street 1:109 N ELM ST
Mailing Address - Street 2:P.O. BOX 106
Mailing Address - City:CRESTON
Mailing Address - State:IA
Mailing Address - Zip Code:50801-2303
Mailing Address - Country:US
Mailing Address - Phone:641-782-4170
Mailing Address - Fax:641-782-9720
Practice Address - Street 1:109 N ELM ST
Practice Address - Street 2:
Practice Address - City:CRESTON
Practice Address - State:IA
Practice Address - Zip Code:50801-2303
Practice Address - Country:US
Practice Address - Phone:641-782-4170
Practice Address - Fax:641-782-9720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable