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Organization
SECOND START INCORPORATED
Active
Organization
SECOND START INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA M CAMERON (PRESIDENT)
(561) 255-7777
Entity
Organization
Contact information
Practice address
4583 DIEKHANS RD APT 4, WEST PALM BEACH, FL 33417-3000
(561) 255-7777
Mailing address
4583 DIEKHANS RD APT 4, WEST PALM BEACH, FL 33417-3000
(561) 255-7777
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
Primary
—
—
251E00000X
Home Health Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
311Z00000X
Custodial Care Facility
—
—
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
561-255-7777
TELEPHONE NUMBER
—
Enumeration date
05/30/2019
Last updated
06/11/2019
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