| NPI | 1285255208 |
|---|---|
| Doing Business As | CAPITOL SQUARE |
| Doing Business As | BASCOM HALL |
| Entity Type | Organization |
| Authorized Contact | MILO PINKERTON Owner 952-351-4552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2020-04-30 |