# CHESTER CO HEALTHCARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CHESTER COUNTY NURSING HOME
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902997356
- **Authorized official:** MAHLIA J RUSSELL (SECRETARY/TREASURER)
- **Authorized official phone:** (731) 989-7598

## Contact information

- **Practice address:** 412 JUANITA DR, HENDERSON, TN 38340-1949
- **Practice address phone:** (731) 989-7598
- **Practice address fax:** (731) 989-7994
- **Mailing address:** 412 JUANITA DR, P O BOX 223, HENDERSON, TN 38340-1949
- **Mailing address phone:** (731) 989-7598
- **Mailing address fax:** (731) 989-7994

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 41 | TN | Yes |

## Other

- **Enumeration date:** 09/28/2006
- **Last updated:** 04/18/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7440034 | — | TN |