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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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