Healthcare Provider Details

I. General information

NPI: 1568309193
Provider Name (Legal Business Name): ARLINGTON SENIOR LIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

684 ARLINGTON PL
MACON GA
31201-1707
US

IV. Provider business mailing address

684 ARLINGTON PL
MACON GA
31201-1707
US

V. Phone/Fax

Practice location:
  • Phone: 478-244-9011
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: JASSICA BOWDLER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 478-244-9011