Provider Demographics
NPI:1821510264
Name:FEED THE HUNGRY THROUGH CHRIST THE KING
Entity Type:Organization
Organization Name:FEED THE HUNGRY THROUGH CHRIST THE KING
Other - Org Name:SENIORA AND PROGRESSIVE LODGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:MANKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-935-8649
Mailing Address - Street 1:5170 SCOFIELD RD
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PARK
Mailing Address - State:GA
Mailing Address - Zip Code:30349-3302
Mailing Address - Country:US
Mailing Address - Phone:404-449-6044
Mailing Address - Fax:
Practice Address - Street 1:5170 SCOFIELD RD
Practice Address - Street 2:
Practice Address - City:COLLEGE PARK
Practice Address - State:GA
Practice Address - Zip Code:30349-3302
Practice Address - Country:US
Practice Address - Phone:404-936-8649
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-07
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA543482983CMedicaid
GA543482983BMedicaid