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Organization
THE LIFEGUARDGROUP
Active
Organization
THE LIFEGUARDGROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI GRACE STOCKBAUER (CASE MANAGER)
(406) 396-5053
Entity
Organization
Contact information
Practice address
1515 FAIRVIEW AVE STE 210, MISSOULA, MT 59801-7817
(406) 396-5053
Mailing address
PO BOX 166, VICTOR, MT 59875-0166
(406) 396-5053
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/24/2025
Last updated
10/24/2025
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