Provider Demographics
NPI:1891939914
Name:FIREFLY VENTURES
Entity Type:Organization
Organization Name:FIREFLY VENTURES
Other - Org Name:RELAX THE BACK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER & PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANE
Authorized Official - Middle Name:M
Authorized Official - Last Name:PETERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-362-2225
Mailing Address - Street 1:6343 PENN AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-4010
Mailing Address - Country:US
Mailing Address - Phone:412-362-2225
Mailing Address - Fax:412-362-0176
Practice Address - Street 1:6343 PENN AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-4010
Practice Address - Country:US
Practice Address - Phone:412-362-2225
Practice Address - Fax:412-362-0176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-21
Last Update Date:2009-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies