Provider Demographics
NPI:1831787019
Name:TEKAY ENTERPRISE
Entity type:Organization
Organization Name:TEKAY ENTERPRISE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ADENIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:AKINLUA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-530-5242
Mailing Address - Street 1:3498 SUMMERLIN PKWY
Mailing Address - Street 2:
Mailing Address - City:LITHIA SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30122-7811
Mailing Address - Country:US
Mailing Address - Phone:470-530-5242
Mailing Address - Fax:
Practice Address - Street 1:3498 SUMMERLIN PKWY
Practice Address - Street 2:
Practice Address - City:LITHIA SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30122-7811
Practice Address - Country:US
Practice Address - Phone:470-530-5242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-04
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health