Healthcare Provider Details

I. General information

NPI: 1689802951
Provider Name (Legal Business Name): UNITED METHODIST FAMILY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2009
Last Update Date: 06/25/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 W BROAD ST
RICHMOND VA
23230-3958
US

IV. Provider business mailing address

3900 W BROAD ST
RICHMOND VA
23230-3958
US

V. Phone/Fax

Practice location:
  • Phone: 804-353-4461
  • Fax: 804-359-5621
Mailing address:
  • Phone: 804-353-4461
  • Fax: 804-359-5621

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License NumberCO5209
License Number StateVA

VIII. Authorized Official

Name: MR. GREG PETERS
Title or Position: PRESIDENT & CEO
Credential: LCSW
Phone: 804-353-4461