Organization
CARDINAL 360 LOGISTICS LLC
Active
Other names
Legacy Comprehensive Health Management
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL MASON-DICKENS (OFFICE MANAGER)
(252) 326-1383
Entity
Organization
Contact information
Practice address
238 ROANOKE RAPIDS RD, GASTON, NC 27832
(252) 578-8334
(804) 655-6706
Mailing address
PO BOX 203, HENRICO, NC 27842-0203
(252) 326-1383
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
09/23/2024
Last updated
03/04/2026
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