Provider Demographics
NPI:1689016586
Name:ANUE, INC.
Entity Type:Organization
Organization Name:ANUE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:O
Authorized Official - Last Name:OVERFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-293-8848
Mailing Address - Street 1:4400 SILAS CREEK PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27104-3823
Mailing Address - Country:US
Mailing Address - Phone:336-293-8848
Mailing Address - Fax:336-293-8849
Practice Address - Street 1:4400 SILAS CREEK PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27104-3823
Practice Address - Country:US
Practice Address - Phone:336-293-8848
Practice Address - Fax:336-293-8849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-22
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1639318272Medicaid