OrganizationActive
Bridge Manifest, LLC
NPI 1194676817 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Tarboro, NC
Provider details
- NPI number
- 1194676817
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Edward Powell, Ceo(252) 343-7002
Specialties & taxonomies
Residential Treatment Facilities
Residential Treatment Facilities
- Assisted Living Facility310400000X
Nursing & Custodial Care Facilities
- Custodial Care Facility311Z00000X
Nursing & Custodial Care Facilities
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000X
Residential Treatment Facilities
- Child Physical Disabilities Respite Care385HR2065X
Respite Care Facility
Practice location
319 W Northern Blvd
Tarboro, NC 27886-2452
Phone: (252) 343-7002
Approximate (ZIP-level) locationGet directions
Mailing address
319 W Northern Blvd
Tarboro, NC 27886-2452
Registry dates
- Enumerated
- 2026-02-07
- Last updated
- 2026-04-28
- Certified
- 2026-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.