Gholston Trust LLC
NPI #1295978328 in Ardmore, Pennsylvania
Provider Information
- NPI Number
- 1295978328
- Entity Type
- Organization
- Organization Name
- Gholston Trust LLC
- Primary Specialty
- In Home Supportive Care
- Enumeration Date
- Apr 20, 2009
- Last Updated
- Apr 22, 2009
Practice Location
- Address
- 773 CLIFFORD AVE
- City
- Ardmore
- State
- Pennsylvania
- ZIP Code
- 19003-2027
- Phone
- (215) 594-9492
Authorized Official
- Name
- MR. JARRAD MARCELLAS GHOLSTON SR.
- Title
- FOUNDER / CEO
- Phone
- (215) 594-9492
Specialties & Taxonomy Codes
| Specialty |
|---|
| In Home Supportive Care |
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