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General NPI Number Information
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NPI Number | 1992669907
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Entity Type | Organization
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Legal Business Name | RESILIENT HOUSING ASSISTANCE LLC
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Dates
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Enumeration Date | 12/13/2025
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Last Update Date | 12/13/2025
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Provider Practice Location Address
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Address Line | 1037 PINE ST
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City | REDDING
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State | CA
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Zip | 96001-0710
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Country | US
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Telephone | 530-768-0950
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Fax | 530-232-5432
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Provider Business Mailing Address
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Address Line | 455 MARKET ST STE 1940 PMB 211298
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City | SAN FRANCISCO
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State | CA
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Zip | 94105-2448
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Country | US
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Telephone | 530-768-0950
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Fax | 530-232-5432
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | MR. TYLER ISAAC TILLSON
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Credential |
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Telephone | 530-768-0950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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