OrganizationActive
Abita Square Dialysis, LLC
NPI 1710212873 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Madisonville, LA
Provider details
- NPI number
- 1710212873
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- John Angelo, Administrator
- License
- APPLYING FOR (LA)
Practice location
397 Highway 21
Suite 601
Madisonville, LA 70447-3407
Phone: (985) 845-9000
Mailing address
397 Highway 21
Madisonville, LA 70447-3407
Registry dates
- Enumerated
- 2009-10-07
- Last updated
- 2009-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.