# THE OTERO CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851529721
- **Authorized official:** MR. JESSIE OTERO (PRESIDENT)
- **Authorized official phone:** (970) 460-0385

## Contact information

- **Practice address:** 1204 WEST ASH STREET, SUITE I, WINDSOR, CO 80550
- **Practice address phone:** (970) 460-0385
- **Practice address fax:** (970) 460-0386
- **Mailing address:** 1204 WEST ASH STREET, SUITE I, WINDSOR, CO 80550
- **Mailing address phone:** (970) 460-0385
- **Mailing address fax:** (970) 460-0386

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 06/30/2009
- **Last updated:** 02/02/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02125048 | — | CO |