Organization
NORTHWEST SERVICES CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES BAKER SR. (PRESIDENT)
(757) 560-2667
Entity
Organization
Contact information
Practice address
300 GALLBUSH RD, CHESAPEAKE, VA 23322-2046
(757) 560-2667
(703) 842-6167
Mailing address
300 GALLBUSH RD, CHESAPEAKE, VA 23322-2046
(757) 560-2667
(703) 842-6167
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2705125637
VA
Other
Enumeration date
12/06/2008
Last updated
12/06/2008
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