Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Pmg Opco-Lafayette LLC

Organization Skilled Nursing Facility · NPI 1689334799

Pmg Opco-Lafayette LLC is a Skilled Nursing Facility in Lafayette, Louisiana. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1511 Dulles Dr
Lafayette, LA 70506-3718
Phone: (337) 216-0950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1689334799
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steven Boulware — Managing Member · (972) 428-0900
Other names Camelot Rehabilitation At Magnolia Park
NPI enumeratedDecember 30, 2021
Last updated in NPPESDecember 30, 2021
Certification dateDecember 30, 2021
Mailing address1511 Dulles Dr, Lafayette, LA 70506-3718

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