NPI 1104976794

Arysa, LLC

Organisation Intellectual Disabilities Intermediate Care Facility Lodi, CA

Practice location

Address: 2155 W. Elm St., Lodi, CA 95242
Phone: (209) 333-1904
Fax: (209) 368-2771
Mailing address: 3432 Granite CT., Stockton, CA 95212

Authorised official

Name: Luz Marcos
Title: Owner/Licensee/ Administrator
Phone: (209) 598-1186

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence LTC80160F (CA)

Other Intermediate Care Facility, Intellectual Disabilities providers in California →

Registry record

NPI: 1104976794
Entity type: Organization
NPI issued: 12 Jan 2007
Record last updated: 16 Dec 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.