Organization
GRANT MANOR INC
Active
Other names
Cherry Blossom Assisted Living Facility
Organization subpart
No
Provider details
NPI number
Authorized official
CYCILIA LYN (PRESIDENT)
(813) 820-8628
Entity
Organization
Contact information
Practice address
2810 CHERRY TREE LN, PLANT CITY, FL 33565-5559
(813) 822-3581
Mailing address
1282 MCGEE RD, PLANT CITY, FL 33565-5126
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
Other
Enumeration date
10/17/2025
Last updated
10/17/2025
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