MEDICARE: GABRIELS WAY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1265369144
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GABRIELS WAY LLC

Provider Business Mailing Address
First Line	:	209 TIMBERLANE DR
Second Line	:
City	:	LEXINGTON
State	:	NC
Zip	:	27295-6861
Country	:	US
Telephone Number	:	336-843-0593
Fax Number	:

Provider Business Practice Location Address
First Line	:	209 TIMBERLANE DR
Second Line	:
City	:	LEXINGTON
State	:	NC
Zip	:	27295-6861
Country	:	US
Telephone Number	:	336-843-0593
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AMY BRANHAM
Credential	:	LPN
Telephone Number	:	336-843-0593

Provider Enumeration Date	:	05/06/2026
Last Update Date	:	05/06/2026

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Directions to “GABRIELS WAY LLC ” Practice Location

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