Provider Demographics
NPI:1679467054
Name:RESILIENT ROOTS HOUSING LLC
Entity type:Organization
Organization Name:RESILIENT ROOTS HOUSING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ASHTON
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-690-7203
Mailing Address - Street 1:804 W FRANKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:CHEWELAH
Mailing Address - State:WA
Mailing Address - Zip Code:99109-9122
Mailing Address - Country:US
Mailing Address - Phone:509-690-7203
Mailing Address - Fax:
Practice Address - Street 1:804 W FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:CHEWELAH
Practice Address - State:WA
Practice Address - Zip Code:99109-9122
Practice Address - Country:US
Practice Address - Phone:509-690-7203
Practice Address - Fax:509-690-7203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management