Organization
ACTIVSTYLE LLC
Active
Parent organization
ACTIVSTYLE HOLDING COMPANY
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACTIVSTYLE HOLDING COMPANY
Authorized official
MR. DARRELL DOUGLAS RAWLINGS (CEO)
(612) 895-7815
Entity
Organization
Contact information
Practice address
7259 W SAHARA AVE STE 100, LAS VEGAS, NV 89117-2853
(702) 330-4823
Mailing address
1055 WESTGATE DR STE 100, SAINT PAUL, MN 55114-1451
(800) 651-6223
(866) 896-7171
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/18/2025
Last updated
08/19/2025
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