NPI 1477403509
Queen Anne Avenue LLC
Practice location
- Address
- 6816 W Queen Anne Ave House #1, Wasilla, AK 99654
- Phone
- (907) 318-2180
- Fax
- (866) 336-7276
- Mailing address
- 1741 E Roseville Pkwy STE 100, Roseville, CA 95661-6450
Authorised official
- Name
- Ross Morton
- Title
- Ceo
- Phone
- (916) 847-4006
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1477403509
- Entity type
- Organization
- NPI issued
- 29 Jan 2026
- Record last updated
- 18 Apr 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.