| Doctor Name: | CAREN DIANE PEASE |
| NPI Number: | 1184776098 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | AL-1010 |
| Business Practice Address: | 401 West 13th Street Pease Guest Home Pueblo, CO - 81003 |
| Business Phone Number: | 7195460104 |
| Business Fax Number: | |
| Mailing Address: | 401 West 13th Street, PUEBLO |
| State: | CO |
| Postal Code: | 81003 |
| Phone Number: | 7195460104 |
| Fax Number: | |
| NPI Enumeration Date: | 01/18/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 310400000X |
| License Number: | AL-1010 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Nursing & Custodial Care Facilities |
| Taxonomy Classification: | Assisted Living Facility |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |