Provider Demographics
NPI:1841049392
Name:ORGANIC SOUP KITCHEN
Entity type:Organization
Organization Name:ORGANIC SOUP KITCHEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:SLABY
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:805-284-3552
Mailing Address - Street 1:315 MEIGS RD STE A369
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93109-1900
Mailing Address - Country:US
Mailing Address - Phone:805-284-3552
Mailing Address - Fax:
Practice Address - Street 1:126 E HALEY ST STE A4
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-2380
Practice Address - Country:US
Practice Address - Phone:805-364-2790
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-16
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174200000XOther Service ProvidersMeals