Provider Demographics
NPI:1508140302
Name:FURRE, SACHA (LPN)
Entity Type:Individual
Prefix:
First Name:SACHA
Middle Name:
Last Name:FURRE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3218 EUCLID HEIGHTS BLVD
Mailing Address - Street 2:CLEVELAND
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-1840
Mailing Address - Country:US
Mailing Address - Phone:216-978-9493
Mailing Address - Fax:
Practice Address - Street 1:3218 EUCLID HEIGHTS BLVD
Practice Address - Street 2:
Practice Address - City:CLEVELAND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44118-1840
Practice Address - Country:US
Practice Address - Phone:216-978-9493
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-28
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH142542164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse