# LUTHERAN SOCIAL SERVICES OF THE SOUTH, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LUTHERAN SOCIAL SERVICES OF THE SOUTH, INC
- **Other names:** E.F. & Bertha Kruse Memorial Lutheran Village
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1376657742
- **Legal business name:** LUTHERAN SOCIAL SERVICES OF THE SOUTH, INC
- **Authorized official:** MR. MICHAEL LOO (PRESIDENT & COO)
- **Authorized official phone:** (512) 459-1000

## Contact information

- **Practice address:** 1700 E STONE ST, BRENHAM, TX 77833-5150
- **Practice address phone:** (979) 830-1996
- **Practice address fax:** (979) 836-4926
- **Mailing address:** 8305 CROSS PARK DR, AUSTIN, TX 78754-5154
- **Mailing address phone:** (512) 459-1000
- **Mailing address fax:** (512) 452-6855

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 116813 | TX | Yes |

## Other

- **Enumeration date:** 08/19/2006
- **Last updated:** 05/17/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001000718 | — | TX |