Healthcare Provider Details

I. General information

NPI: 1528204203
Provider Name (Legal Business Name): NATIONAL INSTITUTE OF DIVINE SCIENCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2008
Last Update Date: 12/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14508 TRAMORE DR 8
CHESTERFIELD MO
63017-8141
US

IV. Provider business mailing address

14508 TRAMORE DR 8
CHESTERFIELD MO
63017-8141
US

V. Phone/Fax

Practice location:
  • Phone: 213-814-2440
  • Fax:
Mailing address:
  • Phone: 213-814-2440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282J00000X
TaxonomyReligious Nonmedical Health Care Institution
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License Number
License Number State

VIII. Authorized Official

Name: DR. TANYA FIELD MEYER
Title or Position: DIRECTOR
Credential: PH.D., C.S.
Phone: 213-814-2440