OrganizationActive
Arysa, LLC
NPI 1104976794 · Intellectual Disabilities Intermediate Care Facility · Lodi, CA
Provider details
- NPI number
- 1104976794
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Luz Marcos, Owner/Licensee/ Administrator(209) 598-1186
- License
- LTC80160F (CA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
2155 W. Elm St.
Lodi, CA 95242
Phone: (209) 333-1904
Fax: (209) 368-2771
Approximate (ZIP-level) locationGet directions
Mailing address
3432 Granite Ct.
Stockton, CA 95212
Other names (DBA / former)
- Doing business as
- Gabriel Icf
Registry dates
- Enumerated
- 2007-01-12
- Last updated
- 2025-12-16
- Certified
- 2025-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.