# CAMERON OPCO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Legacy Nursing and Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457856775
- **Authorized official:** VICTOR DEVIN GUM (MANAGER)
- **Authorized official phone:** (225) 800-4954

## Contact information

- **Practice address:** 2202 N TRAVIS AVE, CAMERON, TX 76520
- **Practice address phone:** (254) 697-6564
- **Mailing address:** 2431 S ACADIAN THRUWAY STE 100, BATON ROUGE, LA 70808-2300
- **Mailing address phone:** (225) 800-4954
- **Mailing address fax:** (225) 308-2278

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | TX | Yes |

## Other

- **Enumeration date:** 03/28/2018
- **Last updated:** 11/30/2023