# SHIRLEY'S COMASSIONATE CARE LLC

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

## Provider details

- **NPI number:** 1568260420
- **Authorized official:** JALISA ANN BOYD (OWNER/OPERATOR)
- **Authorized official phone:** (407) 947-1704

## Contact information

- **Practice address:** 65 3RD ST NW STE 203, WINTER HAVEN, FL 33881-4638
- **Practice address phone:** (407) 947-1704
- **Practice address fax:** (407) 947-1704
- **Mailing address:** 413 JUNE AVE, HAINES CITY, FL 33844-7211
- **Mailing address phone:** (407) 947-1704
- **Mailing address fax:** (407) 947-1704

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 03/06/2025
- **Last updated:** 05/19/2025