GABRIEL WAYNE WALLACE
NPI 1932571056
Technician - Personal Care Attendant in Prescott, MI

Q: What is Gabriel Wallace's NPI number?

The NPI number for Gabriel Wallace is 1932571056. It was assigned to this individual provider in the NPPES registry on October 28, 2015.

Q: What is Gabriel Wallace's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

Q: When was this NPI record last updated?

The NPPES record for Gabriel Wallace was last updated on October 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 28, 2015

5208 MICHIBAN AVE., PRESCOTT, MI 48756(989) 305-9629(989) 873-1225 Get Directions Write a Review

NPPES record last updated: October 28, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Gabriel Wayne Wallace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GABRIEL WAYNE WALLACE (NPI 1932571056) is an individual personal care attendant in Prescott, Michigan, licensed in Michigan (7666037) and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1932571056

Entity TypeIndividualMale

Primary Taxonomy3747P1801X

Provider Legal NameGABRIEL WAYNE WALLACE

Location Address5208 MICHIBAN AVE.Prescott, MI 48756

Mailing AddressPo Box 4424Prescott, MI 48756-4424 · (989) 305-9629 · Fax (989) 873-1225

Phone(989) 305-9629

Fax(989) 873-1225

Sole ProprietorYes

Enumeration DateOctober 28, 2015

✔ NPI 1932571056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers

Taxonomy Code3747P1801X

License✔ Licensed in MI · 7666037

Definition

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

5208 MICHIBAN AVE., Prescott, MI 48756

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Other Identifiers 1

Medicaid7666037MI

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gabriel Wallace's NPI number?

The NPI number for Gabriel Wallace is 1932571056. It was assigned to this individual provider in the NPPES registry on October 28, 2015.

Where is Gabriel Wallace located?

Gabriel Wallace practices at 5208 Michiban Ave., Prescott, MI 48756. The listed phone number is (989) 305-9629.

What is Gabriel Wallace's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Gabriel Wallace was last updated on October 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.