Provider Demographics
NPI:1982366514
Name:TAKEOVERAUTOGROUP
Entity Type:Organization
Organization Name:TAKEOVERAUTOGROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCATE
Authorized Official - Prefix:
Authorized Official - First Name:ADERONKE
Authorized Official - Middle Name:
Authorized Official - Last Name:ADEYEYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-241-2674
Mailing Address - Street 1:720 BLUEBONNET DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-3765
Mailing Address - Country:US
Mailing Address - Phone:682-241-2674
Mailing Address - Fax:
Practice Address - Street 1:720 BLUEBONNET DR
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-3765
Practice Address - Country:US
Practice Address - Phone:682-241-2674
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-11
Last Update Date:2021-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty