Organization
GHOLSTON TRUST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JARRAD MARCELLAS GHOLSTON SR. (FOUNDER / CEO)
(215) 594-9492
Entity
Organization
Contact information
Practice address
773 CLIFFORD AVE, ARDMORE, PA 19003-2027
(215) 594-9492
(215) 594-9492
Mailing address
773 CLIFFORD AVE, ARDMORE, PA 19003-2027
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
PA
Other
Enumeration date
04/20/2009
Last updated
04/22/2009
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