# PAVILION SUNRISE ASSISTED LIVING INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386588812
- **Authorized official:** JACQUELYN MELOSANTOS (CHIEF EXECUTIVE OFFICER, SECRETARY,)
- **Authorized official phone:** (415) 424-8409

## Contact information

- **Practice address:** 4991 44TH ST., SACRAMENTO, CA 95820-5127
- **Practice address phone:** (916) 822-4408
- **Mailing address:** 4991 44TH ST., SACRAMENTO, CA 95820-5127

## Taxonomy

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

## Other

- **Enumeration date:** 04/15/2026
- **Last updated:** 04/15/2026
