Provider Demographics
NPI:1447587365
Name:SPEARS MANAGEMENT COMPANY INC
Entity Type:Organization
Organization Name:SPEARS MANAGEMENT COMPANY INC
Other - Org Name:BOLEY RESIDENTIAL CARE HOME 1
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:K
Authorized Official - Last Name:SPEARS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:918-667-3778
Mailing Address - Street 1:PO BOX 295
Mailing Address - Street 2:
Mailing Address - City:BOLEY
Mailing Address - State:OK
Mailing Address - Zip Code:74829-0295
Mailing Address - Country:US
Mailing Address - Phone:918-667-3778
Mailing Address - Fax:918-667-3443
Practice Address - Street 1:222 N MAPLE
Practice Address - Street 2:
Practice Address - City:BOLEY
Practice Address - State:OK
Practice Address - Zip Code:74829
Practice Address - Country:US
Practice Address - Phone:918-667-3778
Practice Address - Fax:918-667-3443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-13
Last Update Date:2010-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility