NPI 1942161724

Urban Lodge Supportive Living

Organisation Assisted Living Facility Calumet City, IL

Practice location

Address: 762 Pulaski Rd, Calumet City, IL 60409-4018
Phone: (708) 735-1123

Authorised official

Name: Iesha Shanae Hairston
Title: Owner
Phone: (708) 735-1123

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1942161724
Entity type: Organization
NPI issued: 20 Nov 2025
Record last updated: 20 Nov 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.