Provider Demographics
NPI:1063535839
Name:AGGRESSIVE HEALTH SOLUTIONS LLC
Entity type:Organization
Organization Name:AGGRESSIVE HEALTH SOLUTIONS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:S
Authorized Official - Last Name:VELOTTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-445-4733
Mailing Address - Street 1:PO BOX 13561
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71315-3561
Mailing Address - Country:US
Mailing Address - Phone:318-445-4733
Mailing Address - Fax:318-445-3180
Practice Address - Street 1:1442 DORCHESTER DR
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-3408
Practice Address - Country:US
Practice Address - Phone:318-445-4733
Practice Address - Fax:318-445-3180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1013021Medicaid
LA1013021Medicaid