# SWEET TOWN LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cleveland Manor Nursing Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437379096
- **Authorized official:** MELINDA MARTIN (OWNER)
- **Authorized official phone:** (918) 776-0033

## Contact information

- **Practice address:** 100 E CHOCTAW AVE, SALLISAW, OK 74955-4607
- **Practice address phone:** (918) 776-0033
- **Practice address fax:** (918) 776-0880
- **Mailing address:** 900 N DIVISION ST, CLEVELAND, OK 74020-1222
- **Mailing address phone:** (918) 358-3135
- **Mailing address fax:** (918) 358-5536

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | NH5901-5901 | OK | Yes |

## Other

- **Enumeration date:** 04/26/2007
- **Last updated:** 08/22/2020