Organization
LEGACY COMPREHENSIVE HEALTH MANAGEMENT LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL JOLETTE MASON-DICKENS (OWNER)
(252) 578-8334
Entity
Organization
Contact information
Practice address
412 INGLESIDE AVE, EMPORIA, VA 23847-2320
(434) 532-2164
Mailing address
302 S RUSSELL ST, GASTON, NC 27832-9784
(252) 578-8334
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
08/20/2025
Last updated
10/12/2025
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