ABITA SQUARE DIALYSIS, LLC
Ambulatory Health at Highway 21, Madisonville, LA

License number
Louisiana APPLYING FOR
Category
Ambulatory Health
Type
End-Stage Renal Disease (ESRD) Treatment
Owner
Name: JOHN E ANGELO MD
Title: ADMINISTRATOR
Phone: (985) 845-9000
Address
Address
397 Highway 21 SUITE 601, Madisonville, LA 70447
National Provider ID: 1710212873
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about ABITA SQUARE DIALYSIS, LLC at bizstanding.com

ABITA SQUARE DIALYSIS, LLC

Abita Springs, LA  -  Madisonville, LA

Industry:
Kidney Dialysis Centers
Registration:
Oct 9, 2009
Addresses:
21501 Hwy 36, Abita Springs, LA 70420 (Physical)
C/O Tammy Oser, Madisonville, LA 70447 (Mailing)
State ID:
40024873K
Business type:
Limited Liability Company
Managing Members:
Md John E. Angelo (Manager), 397 Hwy 21, Madisonville, LA 70447 (Physical),Cheryl L. Brown, M.d (Manager), 397 Hwy 21, Madisonville, LA 70447 (Physical),Tammy Oser (Administrative Assistant),...

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