Organization
GHOLSTON PARATRANSIT SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JARRAD MARCELLAS GHOLSTON (PRESIDENT, CEO)
(215) 490-7929
Entity
Organization
Contact information
Practice address
5070 PARKSIDE AVENUE, SUITE 2100, PHILADELPHIA, PA 19131
(215) 490-7929
Mailing address
140 S 44TH ST, APT 3B, PHILADELPHIA, PA 19104-2989
(215) 490-7929
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/01/2011
Last updated
04/25/2012
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