Provider Demographics
NPI:1871472902
Name:OUR COMMUNITY RESOURCE SERVICES INC
Entity type:Organization
Organization Name:OUR COMMUNITY RESOURCE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:TIWANA
Authorized Official - Middle Name:D
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-241-9168
Mailing Address - Street 1:850 S 21ST ST STE H
Mailing Address - Street 2:
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34950-4846
Mailing Address - Country:US
Mailing Address - Phone:772-241-9168
Mailing Address - Fax:954-301-7999
Practice Address - Street 1:850 S 21ST ST STE H
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34950-4846
Practice Address - Country:US
Practice Address - Phone:772-241-9168
Practice Address - Fax:954-301-7999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes177F00000XOther Service ProvidersLodging