DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DELIANN-LUCILE CORPORATION

MEDICARE: DELIANN-LUCILE CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1322D00000XEmotionally Disturbed Childrens' Residential Treatment Facility

General Provider Information

NPI Number : 1245773290
Entity Type Code : Organization
Provider Name (Legal Business Name) : DELIANN-LUCILE CORPORATION
Provider Business Mailing Address
First Line : 5731 W SLAUSON AVE STE 210
Second Line :
City : CULVER CITY
State : CA
Zip : 90230-6982
Country : US
Telephone Number : 310-215-8900
Fax Number : 310-215-8907
Provider Business Practice Location Address
First Line : 1564 W 36TH PL
Second Line :
City : LOS ANGELES
State : CA
Zip : 90018-4503
Country : US
Telephone Number : 323-766-9415
Fax Number : 323-766-1710
Authorized Official
Title or Position : CEO/FOUNDER
Name : MARY DAVIS
Credential :
Telephone Number : 310-215-8900
Provider Enumeration Date : 11/23/2016
Last Update Date : 12/16/2019

Similar Medicare Providers

1083959910 — MARZETTE MCGARY M.DIV.
Practice Location Address:
1568 W 36TH PL
LOS ANGELES, CA
90018-4503
Practice Phone: 310-999-5756
Practice Fax:
1922548932 — DELIANN-LUCILE CORPORATION
Practice Location Address:
1564 W 36TH PL
LOS ANGELES, CA
90018-4503
Practice Phone: 323-766-9415
Practice Fax: 323-766-1710
1902452790 — PATRICK GROSS
Practice Location Address:
1564 W 36TH PL
LOS ANGELES, CA
90018-4503
Practice Phone: 323-766-9415
Practice Fax:
1033766696 — BOBBIE MONGER
Practice Location Address:
1564 W 36TH PL
LOS ANGELES, CA
90018-4503
Practice Phone: 323-766-9415
Practice Fax:
1508408212 — STARRENDA RICHMAN
Practice Location Address:
1564 W 36TH PL
LOS ANGELES, CA
90018-4503
Practice Phone: 562-986-3253
Practice Fax:
1164015913 — SHAVONDA JOHNSON
Practice Location Address:
1564 W 36TH PL
LOS ANGELES, CA
90018-4503
Practice Phone: 323-766-9415
Practice Fax: 323-766-1710

Directions to “DELIANN-LUCILE CORPORATION ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.