Excalibur Youth Services LLC-Kingstree
Psychiatric residential treatment facility in Kingstree, SC, Medicare certification number 42L016.
Medicare certification
Provider of Services- CCN
- 42L016
- Status
- Active
- Provider type
- Psychiatric residential treatment facility
- Control type
- Government – state
- Participating since
- May 5, 2011
- Last certification
- May 26, 2023
- Beds
- 40
- Address
- 1370 North Williamsburg County Highway
Kingstree, SC 29556
(843) 666-0264
NPI records for this facility 1
-
dba Broadstep Academy-SC Inc
- Psychiatric Residential Treatment Facility
- Simpsonville, SC
- NPI 1083852511
Name & address match
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.