Organization
DEN OF EPIPHANIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERECE BRUCE (OWNER)
(804) 301-8931
Entity
Organization
Contact information
Practice address
4009 MOSS POINT DRIVE, PETERSBURG, VA 23803
(904) 301-8931
Mailing address
4009 MOSS POINT DRIVE, PETERSBURG, VA 23803
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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