Organization
CHEATHAM-MOFFETT KARINGBRIDGE KONNECTION
Active
Organization
CHEATHAM-MOFFETT KARINGBRIDGE KONNECTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONELL MOFFETT-PRINCE (OWNER)
(469) 450-8831
Entity
Organization
Contact information
Practice address
1114 HUTCHINS RD, DALLAS, TX 75203-3730
(469) 450-8831
Mailing address
1114 HUTCHINS RD, DALLAS, TX 75203-3730
(469) 450-8831
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/15/2020
Last updated
10/25/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up