Graduated: 1981
NPI: 1669565636
Practice Locations (2)
LEGACY CARE ACO LLC
7600 AUTUMN PARK WAY
MECHANICSVILLE, VA 231163868
8047300009
LEGACY CARE LLC
780 LYNNHAVEN PKWY, SUITE 400
VIRGINIA BEACH, VA 234527332
7575362246
Source: CMS National Downloadable File, September 2026.