# ABBISTON CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FirstLight HomeCare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508276874
- **Authorized official:** MRS. ANNETTE M MAHONEY (CO-OWNER / VICE PRESIDENT)
- **Authorized official phone:** (310) 445-6171

## Contact information

- **Practice address:** 2110 S BENTLEY AVE, APT 303, LOS ANGELES, CA 90025-5764
- **Practice address phone:** (310) 445-6171
- **Practice address fax:** (310) 445-6172
- **Mailing address:** 2110 S BENTLEY AVE, APT 303, LOS ANGELES, CA 90025-5764
- **Mailing address phone:** (310) 445-6171
- **Mailing address fax:** (310) 445-6172

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/07/2014
- **Last updated:** 05/07/2014
