MEDICARE: MAY SUE CASE MANAGEMENT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1639993843
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAY SUE CASE MANAGEMENT LLC

Provider Business Mailing Address
First Line	:	1668 FORT ST
Second Line	:
City	:	LINCOLN PARK
State	:	MI
Zip	:	48146-1909
Country	:	US
Telephone Number	:	313-254-2758
Fax Number	:	313-254-2759

Provider Business Practice Location Address
First Line	:	1668 FORT ST
Second Line	:
City	:	LINCOLN PARK
State	:	MI
Zip	:	48146-1909
Country	:	US
Telephone Number	:	313-254-2758
Fax Number	:	313-254-2759

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ANTHONIO MCFADDEN
Credential	:
Telephone Number	:	248-298-6358

Provider Enumeration Date	:	11/13/2024
Last Update Date	:	11/13/2024

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