Organization
STRATUM LIFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAIDA BOUHAMID (CFO)
(941) 552-7500
Entity
Organization
Contact information
Practice address
4144 20TH ST W, BRADENTON, FL 34205-5001
(941) 248-1550
Mailing address
6310 CAPITAL DR, LAKEWOOD RANCH, FL 34202-5013
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
302R00000X
Health Maintenance Organization
—
—
Other
Enumeration date
09/06/2023
Last updated
01/28/2025
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