# KRISTI HOUSE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336540129
- **Authorized official:** GERTRUDE NOVICKI (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (305) 547-6836

## Contact information

- **Practice address:** 1265 NW 12TH AVE, MIAMI, FL 33136-2140
- **Practice address phone:** (305) 547-6800
- **Mailing address:** 1265 NW 12TH AVE, MIAMI, FL 33136-2140
- **Mailing address phone:** (305) 547-6800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/11/2014
- **Last updated:** 09/11/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 009848700 | — | FL |