# ADULT HOME VILLA, INC.

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

## Provider details

- **NPI number:** 1952550915
- **Authorized official:** ESMERALDA MANUKONDA (ADMINISTRATOR)
- **Authorized official phone:** (727) 321-7446

## Contact information

- **Practice address:** 4760 8TH AVE S, ST PETERSBURG, FL 33711-1810
- **Practice address phone:** (727) 321-7446
- **Mailing address:** 4760 8TH AVE S, ST PETERSBURG, FL 33711-1810
- **Mailing address phone:** (727) 321-7446

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | AL5408 | FL | Yes |

## Other

- **Enumeration date:** 09/15/2008
- **Last updated:** 09/15/2008