Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Arysa, LLC

Organization Intellectual Disabilities Intermediate Care Facility · NPI 1104976794

Arysa, LLC is an Intellectual Disabilities Intermediate Care Facility in Lodi, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2155 W Elm St
Lodi, CA 95242
Phone: (209) 333-1904
Fax: (209) 368-2771
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual Disabilities Intermediate Care Facility (primary) Taxonomy 315P00000X · Licence LTC80160F (CA)

Record details

NPI number1104976794
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Luz Marcos — Owner/Licensee/ Administrator · (209) 598-1186
Other names Gabriel Icf
NPI enumeratedJanuary 12, 2007
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025
Mailing address3432 Granite Ct., Stockton, CA 95212

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