Organization
ARISE INDEPENDENT LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANPREET TATLAH (CEO)
(510) 584-6280
Entity
Organization
Contact information
Practice address
2526 RAJKOVICH WAY, STOCKTON, CA 95212-3026
(209) 399-1570
(209) 399-4589
Mailing address
2526 RAJKOVICH WAY, STOCKTON, CA 95212-3026
(209) 399-1570
(209) 399-4589
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
04/04/2026
Last updated
04/04/2026
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