Provider Demographics
NPI:1790440865
Name:GALVIN, ROYTAVIA
Entity Type:Individual
Prefix:
First Name:ROYTAVIA
Middle Name:
Last Name:GALVIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1172 LAKESHORE BLVD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44301-1058
Mailing Address - Country:US
Mailing Address - Phone:330-212-3403
Mailing Address - Fax:
Practice Address - Street 1:1172 LAKESHORE BLVD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44301-1058
Practice Address - Country:US
Practice Address - Phone:330-212-3403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-03
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health