Provider Demographics
NPI:1356593792
Name:GABRIEL'S HEALTH SERVICES INC.
Entity type:Organization
Organization Name:GABRIEL'S HEALTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MERCER
Authorized Official - Suffix:
Authorized Official - Credentials:RNC
Authorized Official - Phone:229-436-4480
Mailing Address - Street 1:P.O. BOX 50031
Mailing Address - Street 2:GABRIEL'S HEALTH SERVICES, INC.
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31703
Mailing Address - Country:US
Mailing Address - Phone:229-436-4480
Mailing Address - Fax:229-436-4480
Practice Address - Street 1:401 FOREST GLEN DR
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31707
Practice Address - Country:US
Practice Address - Phone:229-436-4480
Practice Address - Fax:229-436-4480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-16
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN091861253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care