# PALM GARDEN RETIREMENT HOME & DEMENTIA CARE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KOPACZ RESIDENTIAL CARE INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1952215899
- **Legal business name:** KOPACZ RESIDENTIAL CARE INC
- **Authorized official:** CAMALAH KOPACZ RN (PRESIDENT)
- **Authorized official phone:** (559) 917-0440

## Contact information

- **Practice address:** 8891 E HERNDON AVE, CLOVIS, CA 93619-9089
- **Practice address phone:** (559) 203-1657
- **Practice address fax:** (559) 436-4704
- **Mailing address:** 2814 RIALTO AVE, CLOVIS, CA 93611-6545
- **Mailing address phone:** (559) 515-6189
- **Mailing address fax:** (559) 436-4704

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/29/2026
- **Last updated:** 09/29/2026