DELIANN-LUCILE CORPORATION NPI 1982147922

NPI Information

DELIANN-LUCILE CORPORATION is a residential treatment facility emotionally disturbed children in Los Angeles, CA. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. DELIANN-LUCILE CORPORATION NPI is 1982147922. The provider is registered as an organization entity type.
The provider Other Name Is Delilu Achievement Home 2.

The provider's business location address is:

2122 W 107TH ST
LOS ANGELES, CA
ZIP 90047-305
Phone: (323) 696-9749
Fax: (323) 696-9508

The provider's authorized official is Mary L Davis .
The authorized official title is Ceo and has the following contact phone number (310) 215-8900.

The enumeration date for this NPI number is 11/23/2016 and was last updated on 12/16/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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