Organization
HEARTLAND REGENERATION GROUP LLC
Active
Other names
Gentleway Advanced Mobile Wound Care
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN TISDALE (PARTNER)
(216) 224-6402
Entity
Organization
Contact information
Practice address
5010 MAYFIELD RD STE 212, LYNDHURST, OH 44124-2692
(216) 224-6402
Mailing address
5010 MAYFIELD RD STE 212, LYNDHURST, OH 44124-2692
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/21/2026
Last updated
01/21/2026
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