# LIVE LOVE LIFE, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LIVE LOVE LIFE, INC
- **Other names:** LIVE LOVE LIFE, ORLANDO
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1518569573
- **Legal business name:** LIVE LOVE LIFE, INC
- **Authorized official:** MR. MARK A. WALCZYK (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (585) 233-0105

## Contact information

- **Practice address:** 5000 W COLONIAL DR, SUITE 110, ORLANDO, FL 32808-7602
- **Practice address phone:** (407) 847-4829
- **Practice address fax:** (386) 272-7938
- **Mailing address:** 5000 W COLONIAL DR, STE 110, ORLANDO, FL 32808-7602
- **Mailing address phone:** (407) 847-4829
- **Mailing address fax:** (386) 272-7938

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251V00000X | Voluntary or Charitable Agency | — | NULL | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |
| 261QP0905X | State or Local Public Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 11/13/2020
- **Last updated:** 04/25/2024