Provider Demographics
NPI:1821664160
Name:FURR, STEVEN RANDALL SR
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:RANDALL
Last Name:FURR
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3836 MONTEVISTA RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44121-1613
Mailing Address - Country:US
Mailing Address - Phone:216-280-7939
Mailing Address - Fax:
Practice Address - Street 1:4614 PROSPECT AVE STE 323
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44103-4377
Practice Address - Country:US
Practice Address - Phone:216-273-7233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-27
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator