Healthcare Provider Details

I. General information

NPI: 1801701149
Provider Name (Legal Business Name): SOULDELICIOUS 303 CATFISH AND CHICKEN CATERING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1510 N HUMBOLDT ST
DENVER CO
80218-1615
US

IV. Provider business mailing address

276 S TRUSSVILLE ST
AURORA CO
80018-1946
US

V. Phone/Fax

Practice location:
  • Phone: 720-692-9284
  • Fax:
Mailing address:
  • Phone: 720-692-9284
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: CLARA TURNER
Title or Position: OWNER/CHEF
Credential:
Phone: 720-481-6875