Organization
SHIRLEY'S COMASSIONATE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JALISA ANN BOYD (OWNER/OPERATOR)
(407) 947-1704
Entity
Organization
Contact information
Practice address
65 3RD ST NW STE 203, WINTER HAVEN, FL 33881-4638
(407) 947-1704
(407) 947-1704
Mailing address
413 JUNE AVE, HAINES CITY, FL 33844-7211
(407) 947-1704
(407) 947-1704
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
03/06/2025
Last updated
05/19/2025
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