Organization · Type 2 NPI
Arysa, LLC
Intellectual Disabilities Intermediate Care Facility · Lodi, CA
NPI number
1104976794
Active
Practice location
2155 W. Elm St.
Lodi, CA 95242
Fax (209) 368-2771
Mailing address
3432 Granite Ct.
Stockton, CA 95212
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | LTC80160F (CA) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Other intellectual disabilities intermediate care facility providers in Lodi
About NPI 1104976794
Arysa, LLC's National Provider Identifier is 1104976794, issued on Jan 12, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Lodi, CA. The record was last updated on Dec 16, 2025.