# M GIBBS WORKFORCE KERVIN LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215626767
- **Authorized official:** MR. KERVIN GIBBS (OWNER)
- **Authorized official phone:** (718) 825-1784

## Contact information

- **Practice address:** 21503 JAMAICA AVE \# 1078, QUEENS VILLAGE, NY 11428-1783
- **Practice address phone:** (516) 518-4506
- **Practice address fax:** (929) 299-1525
- **Mailing address:** PO BOX 930013, FAR ROCKAWAY, NY 11693-0013
- **Mailing address phone:** (516) 518-4506

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 376J00000X | Homemaker | — | — | Yes |

## Other

- **Enumeration date:** 05/02/2023
- **Last updated:** 01/13/2025