Urban Lodge Supportive Living
NPI #1942161724 in Calumet City, Illinois
Provider Information
- NPI Number
- 1942161724
- Entity Type
- Organization
- Organization Name
- Urban Lodge Supportive Living
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Nov 20, 2025
- Last Updated
- Nov 20, 2025
Practice Location
- Address
- 762 PULASKI RD
- City
- Calumet City
- State
- Illinois
- ZIP Code
- 60409-4018
- Phone
- (708) 735-1123
Authorized Official
- Name
- IESHA SHANAE HAIRSTON, LPN
- Title
- OWNER
- Phone
- (708) 735-1123
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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