# LHCA'S DIABETES DISEASE STATE MANAGEMENT CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134155583
- **Authorized official:** DR. LEO E HENDRICKS JR. PHD, LICSW (CEO)
- **Authorized official phone:** (301) 942-0678

## Contact information

- **Practice address:** 3937 FERRARA DR, SILVER SPRING, MD 20906-4709
- **Practice address phone:** (301) 942-0678
- **Practice address fax:** (301) 942-0079
- **Mailing address:** 3116 FESSENDEN ST NW, WASHINGTON, DC 20008-2029
- **Mailing address phone:** (301) 942-0678
- **Mailing address fax:** (301) 942-0079

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/25/2006
- **Last updated:** 08/22/2020