The Petrova House is not a DME supplier for medicare equipments and products.
The Petrova House is a Assisted Living, Mental Illness in Jennings, Missouri. This pharmacy is owned and operated by The Community Counseling & Housing Services. It is located at 2407 Petrova Ave, Jennings and it's customer support contact number is 314-580-3029. The authorized person of The Petrova House is Dr. Marvin Shelton, ED.S, ED.D, RADC-P who is Ceo of the pharmacy and his contact number is 314-580-3029. The Petrova House is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
Pharmacy Details:
The Petrova House type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
The Petrova House
Type:
Assisted Living, Mental Illness
Location:
2407 Petrova Ave, Jennings, Missouri, 63136-3903
Phone:
314-580-3029
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Dr. Marvin Shelton
Credentials:
ED.S, ED.D, RADC-P
Position:
Ceo
Contact Number:
314-580-3029
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1477052058
NPI Enumeration Date:
08 Feb, 2018
NPI Last Update On:
08 Feb, 2018
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for The Petrova House are as mentioned below.
Specialization
License Number
State
Status
Assisted Living, Mental Illness
Primary
Addiction (Substance Use Disorder)
Secondary
Case Management
Secondary
In Home Supportive Care
Secondary
VA
Secondary
Assisted Living, Behavioral Disturbances
Secondary
Psychiatric Residential Treatment Facility
Secondary
Substance Abuse Rehabilitation Facility
Secondary
Managed Care Organization Pharmacy
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4166 Lindell Blvd Apt 1b, Saint Louis, Missouri
Zip:
63108-2923
Phone Number:
314-580-3029
Fax Number:
--
Patients can reach The Petrova House at 2407 Petrova Ave, Jennings, Missouri or can call on customer care at 314-580-3029.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.