# BRIDGE MANIFEST, LLC

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

## Provider details

- **NPI number:** 1194676817
- **Authorized official:** EDWARD TREMAYNE POWELL (CEO)
- **Authorized official phone:** (252) 343-7002

## Contact information

- **Practice address:** 319 W NORTHERN BLVD, TARBORO, NC 27886-2452
- **Practice address phone:** (252) 343-7002
- **Mailing address:** 319 W NORTHERN BLVD, TARBORO, NC 27886-2452
- **Mailing address phone:** (252) 343-7002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | — |
| 311500000X | Alzheimer Center (Dementia Center) | — | NULL | — |
| 311Z00000X | Custodial Care Facility | — | NULL | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |
| 3245S0500X | Children's Substance Abuse Rehabilitation Facility | — | NULL | — |
| 347E00000X | Transportation Broker | — | NULL | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | — |
| 385HR2065X | Child Physical Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 02/07/2026
- **Last updated:** 04/28/2026