Organization
CHESTER CO HEALTHCARE, INC.
Active
Other names
CHESTER COUNTY NURSING HOME
Organization subpart
No
Provider details
NPI number
Authorized official
MAHLIA J RUSSELL (SECRETARY/TREASURER)
(731) 989-7598
Entity
Organization
Contact information
Practice address
412 JUANITA DR, HENDERSON, TN 38340-1949
(731) 989-7598
(731) 989-7994
Mailing address
412 JUANITA DR, P O BOX 223, HENDERSON, TN 38340-1949
(731) 989-7598
(731) 989-7994
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
41
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7440034
—
TN
Enumeration date
09/28/2006
Last updated
04/18/2008
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