Healthcare Provider Details

I. General information

NPI: 1265369144
Provider Name (Legal Business Name): GABRIELS WAY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 TIMBERLANE DR
LEXINGTON NC
27295-6861
US

IV. Provider business mailing address

209 TIMBERLANE DR
LEXINGTON NC
27295-6861
US

V. Phone/Fax

Practice location:
  • Phone: 336-843-0593
  • Fax:
Mailing address:
  • Phone: 336-843-0593
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: AMY BRANHAM
Title or Position: OWNER
Credential: LPN
Phone: 336-843-0593