Healthcare Provider Details

I. General information

NPI: 1447163738
Provider Name (Legal Business Name): LIVING MENUS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2026
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

233 E SOUTHERN AVE # 25792
TEMPE AZ
85282-5189
US

IV. Provider business mailing address

233 E SOUTHERN AVE # 25792
TEMPE AZ
85282-5189
US

V. Phone/Fax

Practice location:
  • Phone: 623-428-0665
  • Fax:
Mailing address:
  • Phone: 623-428-0665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State

VIII. Authorized Official

Name: DONITA EVETTE COLEMAN
Title or Position: CEO
Credential:
Phone: 480-793-6178