# FIRE AND ICE RECOVERY, LLC

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

## Provider details

- **NPI number:** 1225802499
- **Authorized official:** DAVID HANNUM (OWNER)
- **Authorized official phone:** (757) 254-1654

## Contact information

- **Practice address:** 11838 CANON BLVD STE 100, NEWPORT NEWS, VA 23606-2592
- **Practice address phone:** (757) 272-1746
- **Mailing address:** 11838 CANON BLVD STE 100, NEWPORT NEWS, VA 23606-2592
- **Mailing address phone:** (757) 272-1746

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/08/2023
- **Last updated:** 11/21/2023