NPI 1154276202

Monumental Supported Living LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Nampa, ID

Practice location

Address: 2103 W Izabella CT, Nampa, ID 83651-1415
Phone: (208) 949-1407

Authorised official

Name: Whitney Crockett
Title: Owner
Phone: (208) 949-1407

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Idaho →

Registry record

NPI: 1154276202
Entity type: Organization
NPI issued: 3 Mar 2026
Record last updated: 9 Mar 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.