Organization
DIAMOND SCOOTERS INC.
Active
Other names
Mobility123
Organization subpart
No
Provider details
NPI number
Authorized official
CASSIDY R. PENN (HUMAN RESOURCES)
(856) 528-9366
Entity
Organization
Contact information
Practice address
645 S MILL RD STE 1, ABSECON, NJ 08201-4802
(856) 528-9366
(609) 646-4447
Mailing address
645 S. MILL RD, SUITE 7, ABSECON, NJ 08201-4802
(856) 528-9366
(609) 646-4447
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
171WH0202X
Home Modifications Contractor
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0024791
—
NJ
Enumeration date
10/24/2006
Last updated
01/15/2026
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