# DELIANN-LUCILE CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DeliLu Achievement Home 1
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922548932
- **Authorized official:** MARY L DAVIS (CEO)
- **Authorized official phone:** (310) 215-8900

## Contact information

- **Practice address:** 1564 W 36TH PL, LOS ANGELES, CA 90018-4503
- **Practice address phone:** (323) 766-9415
- **Practice address fax:** (323) 766-1710
- **Mailing address:** 5731 W SLAUSON AVE STE 210, CULVER CITY, CA 90230-6982
- **Mailing address phone:** (310) 215-8900
- **Mailing address fax:** (310) 215-8907

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 02/24/2017
- **Last updated:** 12/16/2019