Organization
ARYSA LLC
Active
Other names
ALPINE ICF
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LUZ MARCOS RN (OWNER/LICENSEE/ADMINISTRATOR)
(209) 598-1186
Entity
Organization
Contact information
Practice address
2216 ALPINE DR, LODI, CA 95240-7223
(209) 333-0592
(209) 334-2096
Mailing address
3432 GRANITE CT., STOCKTON, CA 95212-3406
(209) 598-1186
(415) 634-1755
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
LTC80271F
CA
Other
Enumeration date
05/05/2008
Last updated
02/13/2026
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