Route Description
Iowa Highway 191 begins at exit 28 of Interstate 680 (I-680) north of Neola in Pottawattamie County. This interchange is about 1 mile (1.6 km) west of the eastern end of I-680 at Interstate 80. Iowa 191 travels north for 1⁄2 miles (0.80 km) and enters Harrison County. Five miles (8.0 km) north of the county line, Iowa 191 enters the small town of Persia. Through Persia, Iowa 191 is called Railway Street, because the highway runs parallel to a BNSF Railway line.
North of Persia, Iowa 191 enters Shelby County. Three miles (4.8 km) north of the county line, Iowa 191 intersects Iowa Highway 44 just south of Portsmouth. North of Portsmouth, the highway enters Panama, which was originally known as Crandall's Station in the 1880s. Southwest of Earling, Iowa 191 and Mosquito Creek part ways; up to this point Iowa 191 had paralleled the creek as well as the rail line. It enters Earling on the southwest side of town and ends at an intersection with Iowa Highway 37 and Shelby County Road M16.
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