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NPI Code Detail

MEDICARE: LUTHERAN SOCIAL SERVICES OF THE SOUTH, INC.

MEDICARE: LUTHERAN SOCIAL SERVICES OF THE SOUTH, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1538482211
Entity Type Code : Organization
Provider Name (Legal Business Name) : LUTHERAN SOCIAL SERVICES OF THE SOUTH, INC.
Provider Business Mailing Address
First Line : 8305 CROSS PARK DR
Second Line :
City : AUSTIN
State : TX
Zip : 78754-5154
Country : US
Telephone Number : 512-459-1000
Fax Number : 512-452-6855
Provider Business Practice Location Address
First Line : 8305 CROSS PARK DR
Second Line :
City : AUSTIN
State : TX
Zip : 78754-5154
Country : US
Telephone Number : 512-459-1000
Fax Number : 512-452-6855
Authorized Official
Title or Position : VP SENIOR SERVICES
Name : MR. JOHN BERKELY
Credential :
Telephone Number : 512-459-1000
Provider Enumeration Date : 03/09/2010
Last Update Date : 03/09/2010

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