# SECOND START INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750949236
- **Authorized official:** SANDRA M CAMERON (PRESIDENT)
- **Authorized official phone:** (561) 255-7777

## Contact information

- **Practice address:** 4583 DIEKHANS RD APT 4, WEST PALM BEACH, FL 33417-3000
- **Practice address phone:** (561) 255-7777
- **Mailing address:** 4583 DIEKHANS RD APT 4, WEST PALM BEACH, FL 33417-3000
- **Mailing address phone:** (561) 255-7777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174200000X | Meals Provider | — | — | — |
| 177F00000X | Lodging Provider | — | — | Yes |
| 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

- **Enumeration date:** 05/30/2019
- **Last updated:** 06/11/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 561-255-7777 | TELEPHONE NUMBER | — |