| Doctor Name: | TINA THOMAS-VETTER |
| NPI Number: | 1063890986 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 5635 Summer Blvd 5635 Summer Blvd Galena, OH - 430219003 |
| Business Phone Number: | 7409094724 |
| Business Fax Number: | 8882960093 |
| Mailing Address: | 5635 Summer Blvd, 5635 Summer Blvd GALENA |
| State: | OH |
| Postal Code: | 430219003 |
| Phone Number: | 7409094724 |
| Fax Number: | 8882960093 |
| NPI Enumeration Date: | 05/12/2015 |
| NPI Last Update Date: | 05/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 385HR2050X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respite Care Facility |
| Taxonomy Classification: | Respite Care |
| Taxonomy Specialization: | Respite Care Camp |
| Taxonomy Definition: | A camping facility that provides specialized respite care to individuals requiring enhanced services to enable them to remain in the community, (e.g., those with developmental delays, mental retardation, mental/behavioral disorders). The staff must have training in working with the target populations and dealing with emergency situations which might be related to or exacerbate the individual's condition. |