Provider Demographics
NPI:1639318272
Name:ANUE, INC
Entity Type:Organization
Organization Name:ANUE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:OVERFIELD
Authorized Official - Last Name:AUTREY
Authorized Official - Suffix:
Authorized Official - Credentials:MA, QP
Authorized Official - Phone:336-830-0009
Mailing Address - Street 1:114 REYNOLDA VLG
Mailing Address - Street 2:SUITE J
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106-5131
Mailing Address - Country:US
Mailing Address - Phone:336-830-0009
Mailing Address - Fax:
Practice Address - Street 1:114 REYNOLDA VLG
Practice Address - Street 2:SUITE J
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-5131
Practice Address - Country:US
Practice Address - Phone:336-830-0009
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-04
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services