Organization
HOMESTEAD TRAIL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYRA ESTAVA CNA (CEO)
(262) 675-3337
Entity
Organization
Contact information
Practice address
1342 W HOMESTEAD TRL, MEQUON, WI 53092-3213
(262) 270-6600
Mailing address
1342 W HOMESTEAD TRL, MEQUON, WI 53092-3213
(262) 270-6600
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/22/2025
Last updated
12/22/2025
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