Organization
KOREDE INC.
Active
Other names
Stage Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OLARONKE FALETI (PRESIDENT)
(817) 690-0118
Entity
Organization
Contact information
Practice address
4317 FOREST PARK AVE, SAINT LOUIS, MO 63108-2820
(314) 266-8205
Mailing address
4317 FOREST PARK AVE, SAINT LOUIS, MO 63108-2820
(817) 690-0118
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
163WL0100X
Lactation Consultant (Registered Nurse)
—
—
174400000X
Specialist
—
—
174N00000X
Lactation Consultant (Non-RN)
—
—
175T00000X
Peer Specialist
—
—
176B00000X
Midwife
—
—
374J00000X
Doula
Primary
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
08/20/2024
Last updated
09/19/2024
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