Organization
CAMERON OPCO LLC
Active
Other names
Legacy Nursing and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR DEVIN GUM (MANAGER)
(225) 800-4954
Entity
Organization
Contact information
Practice address
2202 N TRAVIS AVE, CAMERON, TX 76520
(254) 697-6564
Mailing address
2431 S ACADIAN THRUWAY STE 100, BATON ROUGE, LA 70808-2300
(225) 800-4954
(225) 308-2278
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
TX
Other
Enumeration date
03/28/2018
Last updated
11/30/2023
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