Provider Demographics
NPI:1235238320
Name:UNITED METHODIST FAMILY SERVICES OF VA,INC.
Entity Type:Organization
Organization Name:UNITED METHODIST FAMILY SERVICES OF VA,INC.
Other - Org Name:UMFS
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIEHL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-353-4461
Mailing Address - Street 1:3900 W BROAD ST
Mailing Address - Street 2:BUILDING 10
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-3958
Mailing Address - Country:US
Mailing Address - Phone:804-353-4461
Mailing Address - Fax:804-359-5621
Practice Address - Street 1:3900 W BROAD ST
Practice Address - Street 2:BUILDING 10
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-3958
Practice Address - Country:US
Practice Address - Phone:804-353-4461
Practice Address - Fax:804-359-5621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA64114001322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children