Provider Demographics
NPI:1528204203
Name:NATIONAL INSTITUTE OF DIVINE SCIENCE
Entity Type:Organization
Organization Name:NATIONAL INSTITUTE OF DIVINE SCIENCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:FIELD
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, CS
Authorized Official - Phone:213-814-2440
Mailing Address - Street 1:14508 TRAMORE DR
Mailing Address - Street 2:8
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-8141
Mailing Address - Country:US
Mailing Address - Phone:213-814-2440
Mailing Address - Fax:
Practice Address - Street 1:14508 TRAMORE DR
Practice Address - Street 2:8
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-8141
Practice Address - Country:US
Practice Address - Phone:213-814-2440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-30
Last Update Date:2008-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No282J00000XHospitalsReligious Nonmedical Health Care Institution
No311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility