Healthcare Provider Details

I. General information

NPI: 1518873462
Provider Name (Legal Business Name): KIDS ZONE DAYCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

419 E 5TH ST
OGALLALA NE
69153-2203
US

IV. Provider business mailing address

419 E 5TH ST
OGALLALA NE
69153-2203
US

V. Phone/Fax

Practice location:
  • Phone: 308-284-9823
  • Fax:
Mailing address:
  • Phone: 308-284-9823
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name: AMANDA RENEE BREWSTER
Title or Position: OWNER/DIRECTOR
Credential:
Phone: 308-284-9823