# TH OPERATING LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tucker House Nursing and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902616204
- **Authorized official:** LESLIE KUSTER (MANAGER)
- **Authorized official phone:** (917) 434-4979

## Contact information

- **Practice address:** 1001 WALLACE ST \# 11, PHILADELPHIA, PA 19123-2502
- **Practice address phone:** (215) 235-1600
- **Mailing address:** 1001 WALLACE ST \# 11, PHILADELPHIA, PA 19123-2502

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 01/09/2025
- **Last updated:** 08/07/2025