Organization
SERAPHIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NINKPIBE KEZIA GNOFAM (CEO)
(712) 302-8075
Entity
Organization
Contact information
Practice address
63362 195TH ST, PACIFIC JUNCTION, IA 51561-4037
(717) 302-8075
Mailing address
63362 195TH ST, PACIFIC JUNCTION, IA 51561-4037
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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